Capital Eligibility Form

Check Your Eligibility for a Business Loan

Please complete the form below. Please note this is NOT a loan application. If you meet the initial eligibility criteria for one of our business loan programs, a member of our team will contact you to review additional requirements. If you continue to meet the criteria, you’ll be invited to formally apply.
Note: If you are invited to formally apply, you will be asked to submit documentation to verify the information provided in this form.
First Name*
Last Name*
Email
example@example.com
Phone Number*
Company/Business Name
Amount of Capital Requested*
Please select a range.
Amount of Capital Desired*
Our loans range from $500 - $50,000.
1. I would want to use this loan for:*

Working CapitalInventoryEquipmentTechnologyBusiness debt refinanceOther
2. My business has been operating for:*
Please note that if you are a startup business with $0 revenue, our maximum potential loan size is $2,500.
3. In the last 12 months, my estimated sales totaled:*
Note: If you have multiple sources of income, all additional sources must be verified.
4. In the last 12 months, my estimated profit totaled:*
Profit is your take home amount after you consider all business expenses. Please note, additional sources of income will need to be verified.
5. My estimated credit score is:*
6. (Select all that apply) I currently keep track of my credit accounts by:*

I monitor my credit regularly and always know my balances and due dates.I check my credit reports and statements occasionally, but I don’t track them daily.I rely on auto-pay or payment reminders and don’t actively monitor my accounts.I don’t check my credit accounts regularly and have missed payments before.I’m not sure about the current status of my credit accounts.
7. I own at least 51% of my business *
Please note that if you are not the majority owner of the business, your business partner(s) must also apply for the loan.
8. My business is physically located in or operating in Los Angeles County*

YesNo
9. My business sells or involves one of the following*
10. I understand that if I am invited to formally apply for a loan, I will be required to submit supporting documentation. I am currently able to provide the following: (Select all that apply)*

Government-issued ID (Driver’s License, Passport, or ITIN card)Proof of address (utility bill, lease agreement, or bank statement)Business bank statements (last 3–6 months)Personal tax returns (last 1–2 years)Business tax returns (last 1–2 years)Business licenses or permitsProfit & loss statementBusiness balance sheet
11. I learned / heard about Inclusive Action for the City via*
12. Preferred Language*
Preferred Language
13. In a few words, please describe your business operation or industry:*
Should be Empty:

Check Your Eligibility for a Business Loan