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Home
Our Team
Partners
Events
- Gradience 2020
Programs
- BOF Loan – Business Assessment
Join Us
Contact

BOF Loan – Business Assessment

main form

main form

Step 1 of 4

25%

BOF Loan - Business Assessment

Complete this brief assessment to determine eligibility for the Black Opportunity Fund Loan program. You will need to upload your business plan and cashflow projections separately. If you do not have the completed we will offer coaching.

Do you self identify your business as Black Owned *(Required)

Yes

No

Please select from below the ethnic identities reflective of your leadership team. *(Required)

Black

Afro/Black Caribbean

Afro/Black Latin(o/a)

Afro/Black Middle Eastern

Black African

Black Asian

Black Indigenous

Black Multi-Racial

Black North American

Black Canadian

Gender: (choose one) *(Required)

Woman

Man

Non-binary

Gender-fluid

Two-Spirit

I prefer not to answer

Other

Other

Sexual Orientation *(Required)

Asexual

Bisexual

Gay/Lesbian

Heterosexual/Straight

Pansexual

Queer

I prefer not to answer

Other

Other

Name(Required)

First Last

Company Name *(Required)

Title

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Alternate Email

Office Phone *(Required)

Mobile Phone *(Required)

Preferred contact method *(Required)

Email

Phone

Section 2 of 4 - Business Details

Tell us a bit about the current stage of your company.

What stage is your company in? *(Required)

Not a Business Owner

Ideation - I have a business idea I am working on

Validation - I am testing my business idea (pre-revenue)

Efficiency - Business is operational and generating revenue

Scale - I want to exponentially grow my business

Exit - I am structuring my business to sell

Does your company have an online presence? *(Required)

Yes

No but in process

Website(Required)

Facebook Page

Instagram Page

Other

Tell us a bit about your company and what you sell or the idea that you have. (250 words) *(Required)

What industry do you operate in? *(Required)

What type of business registration do you have? *(Required)

Unregistered

Sole Proprietor

Partnership

Corporation - For Profit

Corporation - Non Profit

Grassroots Non Profit

Charity

9 Digit Business Number *(Required)

How long has your business been operating? *(Required)

0 - 1

2 - 4

5 - 9

+ 10

How many employees do you have? *(Required)

0

1

2 - 4

5 - 9

10 - 19

+ 20

Are you planning to hire this year? *(Required)

Yes

No

Depends

Section 3 of 4 Business Support Needed

Tell us why your company is in position to grow.

Are you currently in need of additional funding? *(Required)

Yes

No

What loan amount are you requesting from the BOF Black Entrepreneur Loan Program (min $10,000 - max $50,000) *(Required)

Use of funds *(Required)

What other types of funding are you interested in? Check all that apply *(Required)

Line of Credit / Operating Capital

Equity Investment

Grants

Have you applied for a business loan from a Financial Institution and been declined in the past 2 years? *(Required)

Yes

No

Additional Business Supports Needed? (check all that apply) *(Required)

Accounting & Bookkeeping Services

Annual Tax Return Filing

Business Registration

Commercial Real Estate

Credit Repair Services

Debt Management

Financial Planning

GST/HST Filing

GST/HST Filing Graphic Design

Information Technology Deveopment

Insurance

Legal Services

Marketing Strategy and Execution

Merchant Services

Mortgages

Operation Management

Personal Loan

Real Estate Investments

Shareholders Agreements

Software Development

T3010 Filing (Charities & Not-for-Profit)

Web Development Services

Identify areas of business operations that you could use support with.

Section 4 of 4 - Financials Snapshot

Do you have a completed Business Plan? *(Required)

Yes Completed

No but in process

No and I could use some help

Do you have a completed Cashflow Projections? *(Required)

Yes

No but in process

No and I could use some help

Please upload Cashflow Projections here *(Required)

Max. file size: 64 MB.

Approximate marketing spend for last 3 months *(Required)

Approximate website traffic for last 3 months *(Required)

How much was your total revenue 2022? *(Required)

Pre-Revenue

$1 - $10,000

$10,001 - $50,000

$50,001 - $100,000

$100,001 - $500,000

$500,001 - $1,000,000

+ $1,000,001

Prefer not to say

Please upload 2022 Income Statement *(Required)

Max. file size: 64 MB.

What is your expected revenue for this year 2023? *(Required)

Pre-Revenue

$1 - $10,000

$10,001 - $50,000

$50,001 - $100,000

$100,001 - $500,000

$500,001 - $1,000,000

+ $1,000,001

Prefer not to say

Credit Health Check *(Required)

Do you owe any Personal Taxes?

Do you owe any Business Taxes?

Have you ever declared Bankruptcy?

Have you ever gone through a Consumer Proposal?

Are there any claims or judgement against you?

Is your credit score below 600?

None of the Above

How did you hear about the BOF Loan Program?

Black Opportunity Fund Website

Black Opportunity Fund Newsletter

ACBN Newsletter

TD Social Media

Facebook

Instagram

Twitter

LinkedIn

Friend or Colleague

Other

Other

Decision Box *(Required)

I Am Agree

By checking this box you agree to allow the Afro Caribbean Business Network to look over your form to determine eligibility for the next stage of the Loan Application.

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