Small Business E-Commerce Program Eligibility and Beneficiary Information Form

The City of Cambridge funds the Small Business E-Commerce Program with Community Development Block Grant funding from the U.S. Housing and Urban Development Department (HUD). HUD requires that we obtain the following information from all applicants to the Program. This information is used by the City to determine the eligibility of the applicant under HUD guidelines and is not shared with an outside party. You must be HUD-eligible in order to participate in the Small Business E-Commerce Program. Find the Eligibility Guidelines here: https://www.cambridgema.gov/CDD/econdev/smallbusinessassistance/smallbusinessprograms/eligibilityguidelines The information you provide on this form is kept in strict confidence. Please complete all applicable spaces on this document and be sure to sign. Incomplete Eligibility Forms will not be reviewed. This Program is first come, first served. There is no guarantee that you will receive a grant this fiscal year. Application Deadline: March 15, 2025. The deadline is final date that you can complete a full application. This Eligibility Form is only for Part 1. If you are eligible, you will receive Part 2, the grant application.

Section A

Section B

8. Is your business establishment located in one of the Neighborhood Revitalization Strategy Areas (NRS)?*

See map of NRS area here: https://www.cambridgema.gov/-/media/Files/CDD/Maps/NRS/nrs2020citywide11x17wlegend.pdf

9. Is the business owner’s residence located in one of the NRS areas and your business located in another part of Cambridge?*

See map of NRS area here: https://www.cambridgema.gov/-/media/Files/CDD/Maps/NRS/nrs2020citywide11x17wlegend.pdf

Is your business a micro-enterprise? If your business is a micro-enterprise, you must provide two years of tax returns to verify income eligibility*

A micro-enterprise employs five or fewer employees, including the owner.

Definition of Family - All related, immediate family members living in the same household. e.g.: husband, wife, children, grandparents, aunts, uncles, cousins.

Select
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12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
12. What is the combined gross annual income for the owner's entire family from all sources?*
13. Ethnicity*

Choose one or more that apply to you

Select or enter value
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Gender*
15. Business Structure*

Please include the owner

Section B

19. Does your business currently have a website?

22. Additional Opportunities

Are you interested in information about the Storefront Improvement Program?*
Are you interested in information about the Retail Interior Accessibility Program?*
Are you interested in being a part of Diversity Directory?*

You can find information about and an application for the Cambridge Business Certificate here: https://www.cambridgema.gov/iwantto/applyforabusinesscertificate


If your business is a microenterprise: Please upload the last two years of tax returns to verify eligibility.

Drag and drop files here or

Not required for Home-Based business

I certify that the information I have provided on this eligibility form is true and accurate to the best of my knowledge. I understand that the information provided in this form is subject to verification by the Federal Housing and Urban Development Department (HUD). I understand that this eligibility form is only part one of a two-part application process. I understand that there is no guarantee that I will receive a grant. If I am accepted onto the program, I understand someone will contact me for a follow up survey after I have completed the program.

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