Test Page Consent *Yes, I have read and understand the requirements for funding assistance.Name of Business Owner *Email Address *What is the best email to contact you regarding the Can Do Performance Financing Program?Phone Number *Business Address *Apartment, suite, etcCity *ZIP / Postal Code *Business Name *Business WebsiteHome Address *0 / 100Is your business a non-profit? *Yes/NoYesNoMay we share your information with partnering agencies? *Yes/NoYesNoPlease Provide Your SOSID # (Secretary of State ID #) *What year was your business founded? *0 / 10How many full-time employees does your business currently have? *Yes, I understand that my business is required to create at least 5 full-time jobs in order to receive funding. *How many jobs will this project create? *Is this a minority-owned business?NoYesIs this a veteran-owned business?NoYesIs this a woman-owned business?NoYesDo you have a Business Plan? (If not, FCEDC can connect you with partners that can assist you with preparing one.)NoYesIs your business in one of the following industry sectors? Please check all that apply. *AerospaceCybersecurityDefenseTechnologyNone of the aboveDo you understand that eligible business must operate in a Qualified Census Tract (QCT) within the City of Fayetteville?NoYesDo you understand that businesses receiving funds must hire at least 60% of their positions from low- to moderate-income households, OR the business must be majority owned by residents living in a low- to moderate-income census tract?NoYesDescribe Your Business *The Can Do Performance Financing Program is designed for businesses that can offer goods and services to local institutional partners. Examples of these partners include Cape Fear Valley Health, the City of Fayetteville, Cumberland County, Cumberland County Schools, Fayetteville PWC, Fayetteville State University, Fayetteville Technical Community College, Fort Bragg, or Methodist University.Have you ever worked with any of the Institutional Partners listed above?NoYesPlease list the Institutional Partners here:Are you a current supplier or service provider for one or more of the instutional partners listed above?NoYesPlease list the Institutional Partners here:Have you ever completed a contract with one or more of the Institutional Partners listed above?NoYesPlease list the Contract Details and the Institutional Partner(s) here:If you have worked with any community partners we have not listed, please share that information here:How many years of business tax returns have you filed?0123 or moreHow have your tax returns been prepared?Self Prepared (i.e. Turbo Tax, Free Tax USA etc)Prepared by a CPA or other Financial ProfessionalPrepared and certified by a CPA or other Financial ProfessionalOther, please explain belowHow many years have you had your tax returns prepared and certified by a CPA?0123 or moreHow much money are you requesting? Please keep in mind that you may receive a maximum of $25,000 per 1 job created. *What are your capital needs? *Funds received from the Can Do Performance Financing Program are intended to support capital investment that fuels job creation, such as the purchasing of equipment, technology, machinery, or vehicles. Eligible expenses also include expanding or improving business facilities and purchasing real estate for business use. Funds are not intended for employee wages.How do you plan to use the funds? *Please provide a brief list of what equipment, task, or acquisition/physical improvement would be accomplished with the funds, along with corresponding amounts. If you do not have a preliminary estimate or budget yet, please let us know. *Is there anything else you would like to tell us about your business or project at this time? *How did you hear about us? *Form SectionThis form requires JavaScript!Submit Application THIS IS A TEST PAGE!
