South Queens Capital Access
Loans up to $300,000 for growing Southeast Queens businesses.
Complete and submit this pre-application to start the loan process.
Business Name
Contact Information
First Name
Last Name
Home Address
Home City
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St. Helena
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St. Lucia
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Suriname
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Switzerland
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Tanzania
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Tonga
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Tuvalu
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Business Contact Information
Business Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
ZIP
Business Phone
Email
Website
Business Information
Primary Business Activity
Please select...
Agriculture, Forestry, Hunting and Fishing
Construction
Manufacturing
Wholesale Trade
Retail Trade
Transportation and Warehousing
Information/Technology
Data Processing Services
Finance and Insurance
Professional, Scientific, and Technical Services
Administrative and Support Services
Waste Management and Remediation Services
Educational Services
Healthcare and Social Assistance
Arts, Entertainment and Recreation
Accommodation and Food Services
Other
Business Open Year
Number of Employees
EIN
Women Owned?
Please select...
Yes
No
Minority Owned?
Please select...
Yes
No
Demographics
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Black
Hispanic
Asian-Pacific
Asian-Indian Subcontinent
Native American
White
Is this a start-up?
Please select...
Yes
No
Queens Chamber of Commerce Member?
Please select...
Yes
No
Loan Information
Loan Amount Requested
$
Denied by Traditional Bank?
Please select...
Yes
No
Did not seek traditional funding
How did you hear about us?
Please select...
Referral
Website Search
Event
Previous Client
Flyer
Other
Notes
Who referred you to us?
Please select...
Queens Business Solutions Center
Queens Chamber of Commerce
Queens Economic Development Corporation
Other
Please specify
Please specify
Business Uses of Loan
Use of funds
Amount
$
$
$
$
Business Uses of Loan Total Amount
$
Click the SUBMIT button to submit this form.
Contact Information