EMI Program Application

Los Angeles County Small Business Mobility Fund Formalization Grants

An Economic Mobility Initiative (EMI) Program
Thank you for your interest in applying for LA County’s Small Business Mobility Fund Program, brought to you by the LA County Department of Economic Opportunity. This grant is available to help sidewalk vendors that vend in the unincorporated areas of Los Angeles County to gain the financial means to become permitted. Eligible uses are restricted to items that help sidewalk vendors become permitted with a Sidewalk Vending Registration Certificate (SVRC). To learn more about the SVRC and additional resources available to vendors, please visit Welcome to the County's Sidewalk Vending Program - Department of Economic Opportunity
1. Vendor Full Name*

First NameLast Name
2. Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
3. Household Size*
4. Household Yearly Income *
(All income from all adults in the household)
5. Phone Number*
Format: (000) 000-0000.
6. Email Address
example@example.com
SpanishEnglishOther
8. Business Name (Write N/A if you do not have a Business Name)*
By signing here you confirm that you are the owner of the business you are applying for*

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My Privacy:
- I authorize Los Angeles County and its authorized program affiliates to collect and use my personal information for the purpose of verification and fraud prevention, program communications, eligibility determination, payment processing, evaluation of program impact, and for improvement and future County programming.
- I authorize Los Angeles County to use my contact information to reach out with additional information, programs, and services related to the Economic Mobility Initiative.
- I understand that my data will not be sold to advertisers or third-party partners and that my privacy will be maintained and will only be used to provide the program service described in this application, improve features, and communicate with me in relation to this application and to share information related to sidewalk vending resources and services. I understand that my data will only be shared in accordance with this policy and will not be used for commercial purposes or sold to external advertisers.
My Rights:
- I understand that I have the right to access/correct/delete my data by contacting info@inclusiveaction.org.
- I can withdraw this consent at any time by contacting the same email address and acknowledge that such withdrawal may affect my participation in a program.
- I have a right to be notified in case of any data breach.
- I understand that Inclusive Action for the City or the County of Los Angeles will not sell my data under any circumstances.
Yes, I consentNo, I do not consent

Temporary business closureDecline in sales/revenueUnable to meet payrollSupply chain problemsPast due billsHigh cost of adaptive business practices to meet public safety requirementsMy business was NOT impacted by the COVID-19 pandemic
15. Please explain and provide detail with dates where possible.*

Vending Location
25. Address of your main vending location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
27. List the address of your other vending location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
28. If you don't have an address, please enter cross streets

By clicking submit, I agree to share my information with the Los Angeles County Department of Economic Opportunity and certify that the information I'm submitting is accurate to the best of my knowledge.
Should be Empty:

Los Angeles County Small Business Mobility Fund Formalization Grants

Vending Location