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WMBDC Pre and Post Questionnaire
Questionnaire Status (Pre or Post)
(Required)
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Name
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Last
Email
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Name of the Business
Have you applied for any Federal, State, and Local loans through banks?
(Required)
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No
If YES, please enter name of loan(s):
Name of loan
Was loan awarded or denied?
Date
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Have you applied for any Federal, State, and Local loans through your regional Planning and Development District (PDD)?
(Required)
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No
If YES, Please enter PDD name:
If YES, please enter name of loan(s):
Name of loan
Was loan awarded or denied?
Date
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Have you applied for any Federal, State, and Local loans through CDFIs?
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If YES, please enter CDFI:
CDFI
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Date
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Have you applied for AND received any Federal Contracts?
(Required)
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No
If YES, please specify contract(s):
Federal Contract
Record Date
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Have you applied for AND received any State Contracts?
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If YES, please specify contract(s):
State Contract
Record Date
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Have you applied for AND received any Local Contracts?
(Required)
Yes
No
If YES, please specify contract(s):
Local Contract
Record Date
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Have you applied for a disaster loan/grant?
(Required)
Yes
No
If YES, please enter name of loan(s):
Name of loan/grant
Was loan/grant awarded or denied?
Date
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Are you in an incubator?
(Required)
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No
Unsure
If YES, please list location:
Number of Full-time employees (not including self)
Number of Part-time employees (not including self)
Are you a parent to a child or children under the age of 16?
(Required)
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No
Phone
This field is for validation purposes and should be left unchanged.
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