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As a non-profit ACE relies on funding from organizations like the SBA and must report demographic information in order to receive this funding. All information is kept confidential and your privacy is very important to us.

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General Information

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Have you applied for a loan with ACE or do you currently have a loan with ACE? *

Location Information

How are you employed?
Do you have a business? *

Business Information

Legal Entity Structure
Are you 8(a) certified? *
Are you a home-based business? *
Do you conduct business online? *

Demographic Information

As a non-profit ACE relies on funding from organizations like the SBA and must report demographic information in order to receive this funding. All information is kept confidential and your privacy is very important to us.
Do you have a disability? *
What is your gender? *
What is your age?
Do you have children? *
Are you a veteran? *
Which of the following best represents your racial heritage? *
Which of the following best represents your ethnic heritage? *
Marital Status: *
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(Round to the nearest $5000)

Participation Agreement E-Signature

DISCLAIMER: I request business counseling service from Access to Capital for Entrepreneurs an SBA Women’s Business Center and resource partner (ACE). I agree to cooperate should I be selected to participate in surveys designed to evaluate ACE services. I permit/consent SBA/ACE the use of my name and address, photograph, and/or related public information to be used by ACE in education and informational activities such as: newspaper articles, brochures, legislative briefs, and for surveys and information mailings regarding SBA/ACE products and services. I understand that any information disclosed will be held in strict confidence and am authorizing SBA/ACE to furnish relevant information to the assigned management counselor(s) or ACE staff in consideration for furnishing management or technical assistance. I waive all claims against SBA/ACE personnel and host organizations, arising from this assistance. Use of Information: The information in this form is to be provided by individuals and businesses seeking technical assistance services from the SBA/ACE. The information is collected to help SBA/ACE’s continuing improvement of business counseling programs, to ensure effective oversight and management of entrepreneurial development programs and grants, and to meet Congressional and Executive Branch reporting requirements. SBA/ACE will not provide your personal information to commercial entities.

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Funded in part through a cooperative agreement with the U. S. Small Business Administration

Reasonable accommodations for persons with disabilities will be made if requested at least two weeks in advance to make the necessary arrangements.