City of Tacoma

1
Applicant Name* This field is required.
First Name
Last Name
2
Title* This field is required.
3
Age (please check one)* This field is required.
Under 20
20 - 29
30 – 39
40 - 54
55 - 70
Over 70
4
Email* This field is required.
example@example.com
5
Business Name* This field is required.
6
Phone Number* This field is required.
Please enter a valid phone number.
7
Business Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Democratic Republic of the Congo
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Japan
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Kenya
Kiribati
North Korea
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Kosovo
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Senegal
Serbia
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eSwatini
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Taiwan
Tajikistan
Tanzania
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Tokelau
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Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
What is the legal structure of your business?* This field is required.
Sole Proprietorship
Limited Liability Corporation (LLC)
S Corporation
Partnership
Other
9
What industry does your business operate in?* This field is required.
Please Select
Please Select
Accommodation and Hospitality
Construction and Home Services
Creative Industries
Education
Financial Services
Food Services and Restaurants
Healthcare
Non-Profit
Personal Services (e.g., hair salons, fitness, etc.)
Professional Services
Retail and e-Commerce
Other
10
What year was your business established?* This field is required.
11
Business Status* This field is required.
Full Time
Part Time
12
What is your SAM Unique Entity ID?The Unique Entity ID is generated in SAM.gov. If you are registered in SAM.gov (active or not), you already have a Unique Entity ID. It is viewable at SAM.gov. If you are new to SAM.gov and will be registering for the first time, you will get your Unique Entity ID (SAM) during registration. Please contact us if you need any help finding/acquiring this number.
13
What is your City of Tacoma Business license number? A license is generally required at the point a business holds itself out to the public (that is, it makes its goods or services available for sale or use). Merely considering opening a business does not require an individual to license. However, if an individual undertakes substantial steps to engage in business, such as manufacturing an inventory of goods for later sale, sufficient business activity has taken place and a license would be required even though the goods themselves have not yet been sold.
14
Does your business primarily serve or employ individuals from historically marginalized or underserved communities?* This field is required.Underserved and marginalized populations include people who experience discrimination of any kind and encounter barriers (e.g., racial, ethnic, gender, sexual orientation, economic, cultural, and/or linguistic) to accessing public health and health care goods and services.
YESNO
15
Race/Ethnicity of primary business owner with majority (more than 50%) ownership* This field is required.
White
Black/African American
Asian
American Indian/Alaska Native
Native Hawaiin/Other Pacific Islander
Other/Multi Racial
Hispanic Latino
16
Gender of primary business owner/applicant with majority (more than 50%) ownership* This field is required.
Female
Male
Non-binary
Rather Not Say
Other
17
Primary language spoken
18
Enter projected 12 month gross annual income from date of application (before taxes), including income from assets, of each household member. If a member has no income, enter “Zero”.* This field is required.
Household Member Name
Type of Income
Total Projected Gross Annual Income & Assets
Head
Row 0, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 0, Column 1
Row 0, Column 2
1
Row 1, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 1, Column 1
Row 1, Column 2
2
Row 2, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 2, Column 1
Row 2, Column 2
3
Row 3, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 3, Column 1
Row 3, Column 2
4
Row 4, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 4, Column 1
Row 4, Column 2
5
Row 5, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 5, Column 1
Row 5, Column 2
Total Household Income
Row 6, Column 0
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 6, Column 1
Row 6, Column 2
Head
1
2
3
4
5
Total Household Income
Household Member Name
Row 0, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 0, Column 1
Total Projected Gross Annual Income & Assets
Row 0, Column 2
Household Member Name
Row 1, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 1, Column 1
Total Projected Gross Annual Income & Assets
Row 1, Column 2
Household Member Name
Row 2, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 2, Column 1
Total Projected Gross Annual Income & Assets
Row 2, Column 2
Household Member Name
Row 3, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 3, Column 1
Total Projected Gross Annual Income & Assets
Row 3, Column 2
Household Member Name
Row 4, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 4, Column 1
Total Projected Gross Annual Income & Assets
Row 4, Column 2
Household Member Name
Row 5, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 5, Column 1
Total Projected Gross Annual Income & Assets
Row 5, Column 2
Household Member Name
Row 6, Column 0
Type of Income
Earned income
Profit income
Interest Dividend income
Rental income
Capital gains
Royalties
Passive income
Row 6, Column 1
Total Projected Gross Annual Income & Assets
Row 6, Column 2
1 of 7
19
Do you have other income from Assets?* This field is required.Possible types of assets include, but are not limited to: checking accounts, savings accounts, cash on hand, money market accounts, certificates of deposit, stocks, bonds, 401(k) and real estate. Include the annual interest from these accounts in your total income
YESNO
20
Enter projected 12 month gross annual income from Assets* This field is required.
Household Member Name
Type of Income
Total Projected Gross Annual Income & Assets
Head
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
1
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
2
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
3
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
4
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
5
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Total Household Income
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Head
1
2
3
4
5
Total Household Income
Household Member Name
Row 0, Column 0
Type of Income
Row 0, Column 1
Total Projected Gross Annual Income & Assets
Row 0, Column 2
Household Member Name
Row 1, Column 0
Type of Income
Row 1, Column 1
Total Projected Gross Annual Income & Assets
Row 1, Column 2
Household Member Name
Row 2, Column 0
Type of Income
Row 2, Column 1
Total Projected Gross Annual Income & Assets
Row 2, Column 2
Household Member Name
Row 3, Column 0
Type of Income
Row 3, Column 1
Total Projected Gross Annual Income & Assets
Row 3, Column 2
Household Member Name
Row 4, Column 0
Type of Income
Row 4, Column 1
Total Projected Gross Annual Income & Assets
Row 4, Column 2
Household Member Name
Row 5, Column 0
Type of Income
Row 5, Column 1
Total Projected Gross Annual Income & Assets
Row 5, Column 2
Household Member Name
Row 6, Column 0
Type of Income
Row 6, Column 1
Total Projected Gross Annual Income & Assets
Row 6, Column 2
1 of 7
21
Please upload your 2024 tax returns for your household and any files documenting extra income such as grants, rental property income, or interest bearing accounts.Please note, if your information is not ready, you'll need to come back and finish when the documentation is ready.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
How many employees do you currently have?* This field is required.
23
What was your business's annual revenue for the most recent fiscal year?* This field is required.
Less than $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
More than $500,000
24
How would you rate your current use of technology in your business operations?* This field is required.
Very Low
Moderate
High
25
What are the top three challenges your business is currently facing?* This field is required.
Digital Marketing and Customer Acquisition
Website Development and Optimization
E-commerce Integration
Adapting to New Technologies
Digital Payment Systems
Data Security and Privacy
Social Media Management
Online Customer Service and Engagement
Other: ______
26
Which area would you like to focus on?* This field is required.
Marketing and Digital Presence
Website Development and E-commerce
Data Analytics and Insights
Digital Operations and Workflow Optimization
Social Media Strategy and Management
Cybersecurity and Data Protection
27
What are your business growth plans for the next 12-24 months?* This field is required.
Expanding Products/Services
Entering New Markets
Hiring More Staff
Investing in Technology
Other
28
Have you previously participated in any other technical assistance or business development programs?* This field is required.
YESNO
29
Are you prepared to participate in at least two one-on-one Zoom meetings with a business consultant to work on your business strategies?* This field is required.
YESNO
30
Would you rather participate in workshops...* This field is required.
In Person
Online
Hybrid
31
Business Owner Signature:* This field is required.I certify under penalties of perjury that the above information is true and complete to the best of my knowledge and belief. I agree to furnish any additional income or other documentation as requested and required by the Service Provider to determine their compliance with federal requirements resulting from the use of federal funds in this project.
Clear
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