FULL NAME
*
BUSINESS NAME
*
BUSINESS ADDRESS
*
ISLAND
*
St. Croix
St. Thomas
St. John
EMAIL
*
PHONE
*
WEBSITE/SOCIAL MEDIA LINK
Business Start Date
*
EIN or Tax ID Number
*
Credit Score
*
Business Type
*
Retail
Food Vendor
Artisan
Entertainment
Service
Other
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Requested Loan Amount
*
$2,000
$5,000
$10,000
$15,000
Other
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Purpose of Funds
*
Will this funding help you hire seasonal workers?
*
Yes
No
Will this funding help increase sales capacity?
*
Yes
No
Will this funding expand your working capital?
*
Yes
No
Do you currently have any other business loans?
*
Yes
No
If Yes - Provide the details
Business License (or Vendor Permit)
*
Photo ID of Owner
*
Proof of Business Bank Account
*
Most Recent Business Tax Return
*
Eligibility Confirmation
*
My business is located and operates within the U.S. Virgin Islands.
I understand that completion of this form does not guarantee funding.
I consent to be contacted by the Community Impact Fund of the Virgin Islands regarding my application and future programs.
Additional comments or information you’d like us to know