Small Business Eligibility Checklist

Small Business Eligibility Checklist
Complete this checklist to determine your business's eligibility for programs or opportunities.
Business Name
Business Type
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of Full-Time Employees
Annual Gross Revenue (most recent fiscal year)
How many years has your business been in operation?
Is your business currently registered and in good standing with state/local authorities?
Does your business operate from a physical location in the target area (if applicable)?

Eligibility Criteria Checklist

Rows	Meets Requirement	Does Not Meet	Not Sure
Business is independently owned and operated
Business is not dominant in its field
Business has not exceeded employee/revenue limits for small businesses
Business is not engaged in ineligible activities (e.g., gambling, adult entertainment)
Business has all required licenses and permits

Has your business or any owner been involved in bankruptcy or legal proceedings in the past 5 years?
Please provide any additional information relevant to your business's eligibility (optional)
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