1. Please provide your contact information.

First Name

Last Name

Company

Business Address Line 1

Business Address Line 2

Business City

Business State

Business Zip Code

Business Country

Contact Email

Business Phone

Business Website

What is the best way for us to reach you?

EmailBy phoneText message

Phone number

Text number

Brief Business/Organization Description

Please choose the industry that best describes your business/organization

2. What do you sell?

Tangible Products ServicesBoth

Please describe what product or service

2.a. If you sell tangible products, do you manufacture them yourself?

YesNo

3. Where do you provide your service or sell your product?

Storefront or physical location Online Both

4. If you sell a product, are you a:

Wholesaler Direct to Consumer Both

Please explain

5. How long have you been in business? (If you are a non-profit, how long have you been in existence?)

6.a. How many full-time employees do you have (including yourself)?

Enter numbers only

6.b. How many part-time employees do you have (including yourself)?

Enter numbers only

6.c. How many interns do you have?

Enter numbers only

7. What is the legal status of your business? If you are a non-profit, skip to Question 9

Sole ProprietorPartnershipLimited Liability Company ("LLC")Corporation ("Inc.")

8. Please check the box for each year in which you made a profit, going back 3 years

Last yearTwo years agoThree years ago

Please provide other strengths.

Please provide other weaknesses.

11. What are your greatest OPPORTUNITIES for business growth?

Please specify.

17. Have you worked with other business mentoring/consulting programs in the last three years?

YesNo

If yes, please specify the name of the program.

18. Which of the following best describes your current situation?

In addition to running this business, I have a full time jobIn addition to running this business, I have a part time job I do not have another job outside this business

19. Is there any other critical confidential information we should know about your business/organization (problems with IRS, issues with licenses, permits, etc) that can affect the normal course of business

We are sorry but at this time you do not qualify for TAP services.

TAP services are best suited to small businesses who are past the start-up stage and have at least twelve months of revenue. If you are a start-up, you are best served by your local Small Business Development Center (SBDC). You can find more information about SBDC here.

Bank	Credit Union
Credit card	CDFI
Online lender	Merchant cash advance
POS system	Other

Accompany Capital	Bronx Community Foundation
Chase Coaching Sessions	Commonwealth Kitchen (CWK)
Community Capital NY (CCNY)	Harlem Community Development Corp (HCDC)
Hot Bread Kitchen (HBK)	Hudson Kitchen
Live Oak Bank	Pursuit
TruFund	Friend/Neighbor
Press (Newspapers, Radio, etc)	Online Search
BOC Network	Southern Bancorp Community Partners (SBCP)
Other

TAP Client Application