LendAL Interest Form
Thank you for your interest in enrolling in LendAL, Alabama's SSBCI Debt Program. This form has a set of questions based on federal guidelines to determine eligibility for the SSBCI Debt Programs. If you are already talking to a bank, credit union or loan fund about a loan please indicate "Yes" and tell us the name of the Lender and who you are working with at that Lender.
What is your business name?
*
What is your business EIN?
*
Where is your business located? (Main Office)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your business EIN?
*
What year did your business commence operations?
*
What industry do you operate in?
*
Primary industry (healthcare, SAAS, food/beverage, etc.)
What is the anticipated amount of the loan / what is your capital need?
*
Share an estimate of the loan amount you are seeking from a lender
What is the intended purpose of the loan?
*
What is your name?
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What was your annual gross revenue for the last year?
*
Fiscal or calendar year
What was your net income for the last year?
*
Fiscal or calendar year
How many full-time equivalent employees (FTE) do you have?
*
part-time employees count as .5
Have you been in existence for less than 2 years?
*
Yes
No
Do you have a business plan?
Yes
No
In Progress
Unsure
Do you have two years of financial projections based on your business plan?
Yes
No
In Progress
Unsure
Upload a current version of your business plan and financial projections
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Are you currently working with a lending institution
*
Yes
No
Are you currently working with an SSBCI Technical Assistance partner? (e.g. Alabama SBDC)
*
Yes
No
Name of Lender
Name of Loan Officer
First Name
Last Name
Email for Loan Officer
example@example.com
Which technical assistance provider are you working with?
Please Select
Alabama Small Business Development Center (SBDC)
Mobile Chamber of Commerce
Other
Permission to share your information with our Technical Assistance providers so they can give you free assistance in securing a loan?
Yes
No
Permission to share your information with Lenders enrolled in our program?
Yes
No
Anything else we need to know about your business?
*
How did you hear about the LendAL program?
*
Submit
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