SEED Loan Fund Application
Please note that you will not be able to complete and/or submit your application without the required Credit Karma credit report and link to the Zoom recording of your video introduction. Please prepare these items before proceeding with the application.
Applicant Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County of Residence
*
Please Select
Albany
Columbia
Fulton
Greene
Montgomery
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
Are you currently a client of the Small Business Development Center
*
Yes
No
Not Sure
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Mandatory Application Attachments
Please note that you will not be able to complete and/or submit your application without the required Credit Karma credit report and link to the Zoom recording of your video introduction. Please prepare these items before proceeding with the application.
Credit Karma Credit Report Upload
*
Browse Files
Drag and drop files here
Choose a file
Please note that we need the complete credit report and not screenshots of the summary. If you fail to submit the complete credit report, your application will not be considered completed and considered for the program. Instructions to download and safe your credit report can be found here:
Cancel
of
Video Introduction Upload
*
Browse Files
Drag and drop files here
Choose a file
Please make sure that the video is made public and can be opened. If we cannot open your video, your application will not be considered completed and considered for the program.
Cancel
of
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Applicant Demographic Information
Applicant Race
*
Please Select
American Indian
Asian
Black or African American
Eskimo/Aleutian
Middle Eastern
Native Hawaiian or Pacific Islander
North African
White
Prefer Not to Say
Prefer to Self-Describe
Gender Veteran/Military Status
*
Please Select
Active Duty
Gulf War Veteran
Member of National Guard
Member of Reserve
Non Veteran
Returning Afghanistan/Iraq Veteran
Service-Disabled Veteran
Spouse of Military Member
Veteran
Vietnam Veteran
Applicant Gender
*
Please Select
Female
Female/Female Partnership
Male
Male/Female Partnership
Male/Male Partnership
Non-binary
Prefer Not to Say
Prefer to Self Describe
X
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Business Information
Please provide a description of what your business does/will sell.
*
Primary Industry
*
Please Select
Agriculture
Construction
E-Commerce
Food Service
IT Services
Manufacturing
Professional Services
Retail
Technology Development
Wholesale
Other
Are you currently in business?
*
Yes
No
Name of business:
*
Date business was established:
*
-
Month
-
Day
Year
Date
Business Entity
*
Please Select
Sole Proprietor (DBA)
Partnership
LLC
S-Corporation
C-Corporation
Other
How many employees does the business have, including the business owners?
*
What is your average revenue per month?
*
Business website address:
*
Please provide the links to your business' social media accounts:
*
Are there any other owners of the business?
*
Yes
No
If there are additional business owners, please list their names below. Please note that each owner is required to complete a separate SEED Loan Fund Application and complete the application for the business to qualify for program acceptance.
*
Are all owners of the business citizens of the United States or legal permanent residents?
*
Yes
No
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Preliminary amount of loan request?
*
Please Select
$5,000 to $9,999
$10,000 to $14,999
$15,000 to $19,999
$20,000 to $24,999
$25,000 to $29,999
$30,000 to $35,000
Please note that this is a preliminary estimate. It is anticipated that the final loan request at the end of the program will likely be different than the amount selected in the application.
Anticipated use of loan funds:
*
Please Select
Advertising/Marketing
Equipment
Inventory
Prepaid Business Expenses (legal, rent, consultants, insurance, etc.)
Renovations
Working Capital
Other
Do you have a business plan?
*
Yes
No
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Additional Applicant Information
Have you or your business ever been involved in a bankruptcy or insolvency proceeding?
*
Yes
No
Is your business or any of the businesses you own currently involved in any pending judgments, claims or lawsuits?
*
Yes
No
Please provide additional information on any pending judgements, claims or lawsuits.
*
Do you or your business have any tax payments or employee payments which are delinquent or are in dispute?
*
Yes
No
Have you or any of the other owners of the business ever been convicted of a crime?
*
Yes
No
Please provide a written explanation of the crime that you were convicted of and sentence.
*
Have you or any of the other owners of the business ever been convicted of a felony?
*
Yes
No
Please provide a written explanation of the felony that you were convicted of and sentence.
*
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The SEED Loan Fund application process and capacity building components are managed by the Small Business Development Center, hosted by the University at Albany. As a result, the New York State Small Business Development Center Client Disclaimer acceptance is required.
New York State Small Business Development Center Client Disclaimer (Required) I request management assistance from The New York State Small Business Development Center. I understand that this assistance is free of charge and that I incur no obligation to The New York SBDC or the U.S. Small Business Administration or its counselors for providing this assistance. I agree to cooperate should I be selected to participate in surveys designed to evaluate assistance services. I authorize the New York SBDC to furnish relevant information to the assigned management counselor(s) although I expect that information to be held in strict confidence to the extent allowable by law.I further understand that any counselor has agreed not to: (1) recommend goods or services from sources in which he/she has an interest and (2) accept fees or commissions developing from this counseling relationship. In consideration of the SBDC, in cooperation with the SBA furnishing management or technical assistance, I waive all claims against The New York State SBDC, SBA, personnel or counselors arising from this assistance.
*
I have read the Client Disclaimer and agree to the terms and conditions stated.
Application Date
*
-
Month
-
Day
Year
Date
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Entrepreneurial Assessment
Please answer the next series of questions as they apply to you. Five stars means the statement most represents you and one star means the statement least represents you.
I am able to confront differences of opinion openly and not ignore interpersonal problems.
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1
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4
5
I view problems and obstacles as they are and nothing more.
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1
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5
I deal with problems early and see what needs to be done and not wait to act or be told to act.
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1
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5
I am a lot less effective in stressful situations.
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1
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5
I always worry about what others will think before doing something important.
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1
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5
I seek guidance on my own before something needs to be done.
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1
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5
I enjoy building networks of contacts to gain knowledge and build relationships.
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1
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5
In general, I distrust my instincts.
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1
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I prefer having the final say.
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1
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5
I show care or concern for consequences that are due to my actions or attitudes.
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1
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5
I easily tire of routine tasks
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5
I have no problem working for someone else.
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1
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5
When I take on a project, I have confidence that I will carry it out successfully.
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1
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5
I enjoy compelling others to do tasks or buy.
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1
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5
I think carefully about choices before deciding and developing new ideas.
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1
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5
I am capable of seeing many solutions to a problem.
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1
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5
I accept criticism with grace.
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1
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5
I prefer the established way of getting things done.
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1
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5
A certain level of stress stimulates me.
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1
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5
After a failure, I am able to pick myself up and start over.
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1
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5
I have a good understanding of what is required to start a business.
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1
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5
I am willing to make the sacrifices necessary to succeed.
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1
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5
I like meeting strangers.
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1
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5
A steady income is important to my household.
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1
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5
I have the skills necessary to succeed as an entrepreneur.
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1
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5
I have a strong network to support my business endeavor.
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1
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5
Maintaining my personal integrity is more important than success.
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1
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5
It is easy to motivates others to complete my goals.
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1
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5
I often feel stuck by a difficult situation.
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1
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5
I am not always ready to make sacrifices in order to succeed.
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1
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5
After a failure, I prefer to move on.
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1
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5
I always try to take calculated risks.
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1
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5
I have a hard time functioning in uncertain situations.
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1
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5
I really enjoy situations where there are rules to respect.
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1
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5
I see the glass as half full.
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1
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5
No matter what we do, the outcome is determined by others.
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1
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5
There is a time for thought, but action is more important.
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1
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5
I prefer to lead than follow.
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1
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5
I avoid confrontation.
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1
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4
5
The fear of failure influences my decisions.
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1
2
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4
5
I don't like to influence others.
*
1
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3
4
5
Submit
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