Section 1: Applicant Info

Name of Contact Applicant *

Contact Phone Number *

Contact Email *

Current Street Address

Current City

Current State

Current Country

Enter your country

Current Postal Code

Section 2: Business Info

Legal Business Name *

DBA/Trade Name (if applicable) *

EIN *

Business Type *

Select an option

Date Business Established

Website

Does your business currently have a commercial location in the area? *

Select an option

Section 3: Space & Use Requested

Building Request *

Select an option

Are you requesting use of all the space in the building? *

Yes

Approximate Square Footage Needed

Proposed Use / Business Actuvity in Space *

Please be as detailed as possible

Requested Initial Lease Term *

Select an option

Desired Move-In Date *

Section 4: Job Creation & Wage Projections

All numbers below should be "New-to-Lincoln" jobs

Year 1 Job Creation Projections *

Jobs should be New-To-Lincoln

Anticipated Average Wages

For this year

Year 2 Job Creation Projections *

Jobs should be New-To-Lincoln

Anticipated Average Wages

For this year

Year 3 Job Creation Projections *

Jobs should be New-To-Lincoln

Anticipated Average Wages

For this year

Year 4 Job Creation Projections *

Jobs should be New-To-Lincoln

Anticipated Average Wages

For this year

Year 5 Job Creation Projections *

Jobs should be New-To-Lincoln

Anticipated Average Wages

For this year

Section 5: Financial Information

Business Financial Statements Upload *

Click to upload

Current Operating Budget / Cash-flow Projection *

Click to upload

Description of Funding Sources *

Section 6: Tenant Improvement Plan & Purchase Option

Estimated Capital Investment Amount *

Estimated Timeline for Investment *

Expected Operating Hours *

Are you interested in purchasing the property at the end of the lease at a pre-negotiated, below market rate?

Yes

Undecided

Are you interested in having the property donated to you at the end of the lease if metrics are met?

Yes

Undecided

Section 7: Additional Information

Please note that none of this information is necessary, but may be helpful in final determination of quality of application.

Business Plan

Click to upload

Certificate of Insurance

Click to upload

Entity Formation Documents

Click to upload

Any additional supporting material (marketing materials, letters of support, etc)

Click to upload

Section 8: Final Signature

Write out your full name of the person signing this document *

By signing below, I certify that all the information above is true and correct. *

Clear