Pre-application (English) South Queens Capital AccessLoans up to $300,000 for growing Southeast Queens businesses.Complete and submit this pre-application to start the loan process. Associated ProgramsPlease select... JFK NYCFF CFP Business Name Owner Contact Information First Name Last Name Home Address Home City Home StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Home ZIP Home Phone Cell Phone Country of OriginPlease select... 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Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau ZIP Business Phone Email Website Business Information Primary Business ActivityPlease select... Agriculture, Forestry, Hunting and Fishing Construction Manufacturing Wholesale Trade Retail Trade Transportation and Warehousing Information/Technology Data Processing Services Finance and Insurance Professional, Scientific, and Technical Services Administrative and Support Services Waste Management and Remediation Services Educational Services Healthcare and Social Assistance Arts, Entertainment and Recreation Accommodation and Food Services Other Business Open Year Number of Employees EIN Women Owned?Please select... Yes No Veteran Owned?Please select... Yes No Minority Owned?Please select... Yes No DemographicsPlease select... Black Hispanic Asian-Pacific Asian-Indian Subcontinent Native American White Is this a start-up?Please select... Yes No Queens Chamber of Commerce Member?Please select... Yes No Contract Experience Prior government contract experience?Please select... Yes No Working on government contract now?Please select... Yes No Bidding on government contracts?Please select... Yes No Please detail your experience working and bidding on government contracts: Loan Information Loan Amount Requested $ Denied by Traditional Bank?Please select... Yes No Did not seek traditional funding How did you hear about us?Please select... Referral Website Search Event Previous Client Flyer Other Please provide a brief description of the business and how the funds will be used: Who referred you to us?Please select... Empire State Development Port Authority - JFK Queens Business Solutions Center Queens Chamber of Commerce Queens Economic Development Corporation Other Please specify Please specify Business Uses of Loan Use of funds Amount $ $ $ $ Business Uses of Loan Total Amount $ Click the SUBMIT button to submit this form. Contact Information