Check one (1) appropriate federal tax classification
What is the relative percentage ownership of the business by males/females?
Does Business owner have any relationship with Columbia University?
Please describe the relationship with Columbia University.
If you are awarded a loan, how will the funds be utilized for the business? You may select more than one.
Have you or your business ever been involved in a bankruptcy or insolvency?
Please provide explanation of insolvency/bankruptcy.
Do you or your business have any tax payments or employee payments which are delinquent or are in dispute?
Please provide an explanation for any tax payments or employee payments which are delinquent or are in dispute.
Have you applied for a grant or loan from any other source in the past twelve months?
What was the outcome of any grant or loan application(s) from the previous 12 months?
Why have you not applied for a grant or loan from any other source in the past twelve months?
Name, Contact Telephone Number and Nature of Relationship for three References (at least one must be a vendor, customer, supplier or landlord).
Explain your business model before Covid-19. What did you sell? What distinguished your business from your competitors? Who was your target market? How many people worked for you?
How has your business been affected by COVID-19?
Here is a list of the (digital) documents you will need to send. Please indicate that you have all of the documents ready to send by checking the checkboxes. After you send this form you will be contacted by email with instructions on how to send your documents securely.
If you need to create PDF files from paper documents you can use a scanning app on your phone. (You can search for 'PDF scan' in the Apple App store or Google Play store.)