WCWB ScaleUp Application

Date*
Date Format: MM slash DD slash YYYY
Section I
Name*
First Last
Email*
Phone*
Business Name*
Business Phone*
Business Type*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Years in Business*
Is this your first/only business?*
- Yes
- No
Percentage of Ownership:*
Please enter a number from 1 to 100.
Business Demographic*
- Woman-Owned
- Partially Woman-Owned
Please describe your business:*
What type of services are you requesting?
- E-Commerce Websites
- Mobile Applications
- CRM Databases
- Online Customer Service
- Accounting
- Health & Safety
- Budget & Cash Flow Planning
- Service & Product Pricing Strategies
- Building Systems and Processes
- HR Support
- COVID-19 Business Requirements Guidance
- HR Support
- Other
Please Describe Other Services:*
Have you utilized the Center for Business & Innovation services before? If so, which ones?*
- STEADI
- PTAC
- SCALEUP
- WCWB Coaching
- BEST
- THINK
- SBDC
- I have not used any of these.
Do you have a website currently?*
- Yes
- No
What is your website URL?*
Do you sell online now?*
- Yes
- No
How/Where do you sell online?*
How often do you update your accounting system with expenses?*
- Daily
- Weekly
- Monthly
- Quarterly
- Semi-Annually
- Annually
What do you use for an accounting system now?*
- Notebook
- Excel
- Quickbooks/Mint
Do you have a bookkeeper?*
- Yes
- No
Do you use accounting reports to make decisions about your business?*
- Yes
- No
If you had access to these reports, would you utilize them?*
- Yes
- No
Do you need support filing back taxes prior to 2019?*
- Yes
- No
Has your business ever applied for a loan and been denied?*
- Yes
- No
When was the last time you increased your business prices?*
Do you have a current business plan?*
- Yes
- No
Do you have an accident prevention plan for your business?*
- Yes
- No
Would you like support with an accident prevention plan?*
- Yes
- No
Would you like to learn more about LNI requirements for business owners in Washington State?*
- Yes
- No
Number of Full-Time Employees as of 01/01/2020*
Number of Part-Time Employees as of 01/01/2020*
Section II
Has your business been impacted by COVID-19?*
- Yes
- No
Please provide a brief explanation of what adverse economic effects the disaster has had on your business:*
By what percent has your revenue declined during the COVID-19 pandemic?*
Please enter a number from 1 to 100.
Has you made layoffs due to COVID-19?*
- Yes
- No
Were you able to receive COVID-19 relief funding through the Paycheck Protection Program?*
- Yes
- No
Were you able to receive COVID-19 relief funding through the EIDL (Economic Injury Disaster Loan)?*
- Yes
- No
How will the services you are requested support your business in relation to the impacts due to COVID-19?*
Is there anything you want your local City/State/Government to know about your economic impact or anything you like them to do to support your business during this time?*
Is there a class you wish was available to you at no cost that would help grow your business and skills? Please explain.*
How did you hear about us?*

U.S. Small Business Administration

partners

Thank You

The Washington Center for Women in Business thanks these organizations for their support of our programs.

Theme by Out the Box

Section I

Section II