REZ Revolving Loan Pre-Application | Mon Valley Alliance

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Pre-Application for the REZ Revolving Loan Fund

Please complete the Pre-Application below for review so a staff member of the MVA can determine your eligibility for the program.

Any questions, please contact Madison Codeluppi at mcodeluppi@monvalleyalliance.org or (724) 565-5637

Once the Pre-Application is submitted, a staff member of the Mon Valley Alliance will contact you as soon as possible.

Business Name

Business Website

Street Address

City

State

Zip code

County

Regional Enterprise Community

Is this your Business Location

Yes

No

If no, please state business address

Contact First Name

Last Name

Contact Title

Contact Phone Number

Contact Email

Please describe your busines:

Business Structure

Does the company have a business plan?

Yes

No

If available, please upload

Upload File

Upload supported file (Max 15MB)

Date Business Established

Employer Identification Number

Are you a Socially & Economically Disadvantaged Individual- owned business? Select all that apply:

Individuals who have had their access to credit on reasonable terms deminished as compared to others in comparable economic circumstances, due to their:

Membership of a group that has been subject to racial or ethnic prejudice or cultural bias within American society

Gender

Veteran Status

Limited English proficiency

Physical Handicap

Long-term residence in an enviroment isolated from the mainstream of American society

Membership of a federally or state-recognized Indian tribe

Long-term residence in a rural community

Residence in a U.S. territory

Residence in a community undergoing economic transitions (including communities impacted by the shift towards a net-zero economy or deindustrialization)

Membership of another "underserved community" as defined in Executive Order 13985

None

Company revenue for last fiscal year

Current number of full-time employees and average wage

Current number of contracted employees

Projected company revenue for the current fiscal year

Current number of part-time employees and average wage

Number of anticipated jobs created/retained as a result of this project and average wage

Project Descripton

Estimated Project Cost

Amount of financing assisstance requested

Does the company have capital available to support the project?

Yes

No

Are you working with a bank or other lenders on this project?

Yes

No

If yes to previous question, please name bank/lender

Under Federal and State guidelines, a 1:1 MATCH IS REQUIRED for all loans

Do you have matching funds in place?

Yes

No

If no, do you have plans for matching funds

Yes

No

Please explain the matching funds you have available (personal capital, loan, investor, ect) or where you plan on getting matching funds.

Proposed Collateral

Please briefly describe the proposed collateral:

Why is this project necessary for the company?

Timeline of proposed project and current status (please describe in detail)

Please indicate the strength of your credit score

1 - poor

2

3

4

5

6

7

8

9

10 - Excellent

Please indicate proposed term length of loan (up to 7 years)

1 yaer

2 years

3 years

4 years

5 years

6 years

7 years

Thanks for submitting the REZ Revolving Loan Fund Pre-Application!

We will review your application and contact you soon.

CONTACT

First Name

Email

Last Name

Subject

Message

Thanks for submitting!

MON VALLEY ALLIANCE

235 W. Main Street

Monongahela, PA 15063

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