CITY OF CAMBRIDGE SMALL BUSINESS COACHING PROGRAM APPLICATION

The City of Cambridge funds the Small Business Coaching 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 in the Small Business Coaching Program. Find the Eligibility Guidelines here: https://www.cambridgema.gov/CDD/econdev/smallbusinessassistance/smallbusinessprograms/eligibilityguidelines The information you provide on this application is kept in strict confidence. Please complete all applicable spaces on this document.

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

10. Is your business a micro-enterprise?*

A micro-enterprise employs five or fewer full-time employees, including the owner. Full time is defined as anyone who works on average more than 35 hours a week.

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

Select or enter value
Caret IconCaret symbol
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
Caret IconCaret symbol
15. Gender*

Please include the owner

Please include the owner

Section C

Declarations – Please provide details below on any question with a YES response.

19. Does the applicant or co-applicant owe any property taxes to the City of Cambridge?*
20a. Is the applicant or co-applicant involved in a political campaign?*
20b. Is the applicant or co-applicant a candidate or public official or foreign official?*
20c. Is the applicant or co-applicant an immediate family member of a political official?*
20d. Is the applicant or co-applicant a business entity formed by or for the benefit of any public official?*
20e. Is the applicant or co-applicant a member of a local board or committee?*
20f. Does your business sell cannabis, cannabis products or use your property for the manufacturing, storing of cannabis?*

Section D

22. If you could get assistance on one large issue for your business, what would it be?*

EDD staff will work with the consultants and your schedule appointments as soon as possible. You can only have a coaching session with one type of consultant per fiscal year.

23a. Are you interested in information about the Small Business Enhancement Program?*
23b. Are you interested in information about the Storefront Improvement Program?*
23c. Are you interested in information about the Retail Interior Accessibility Program?*
23d. Are you interested in being a part of Diversity Directory?*

I certify that the information I have provided on this form is true and accurate to the best of my knowledge. I understand that the information provided on this form is subject to verification by the Federal Housing and Urban Development Department (HUD). I understand that if I am eligible, someone will contact me for a follow up survey after I have completed the program.

Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse