CCR Form Please enable JavaScript in your browser to complete this form.Business NameName *FirstLastEmail *Zip Code of where your business resides *Link to your business LinkedIn account Link to your business Instagram account Link to your business Facebook account Please upload a professional headshot * Click or drag a file to this area to upload. Please provide your raceAfrican AmericanAsianCaucasian HispanicOtherPrefer not to answerPlease provide your gender FemaleMaleNon-BinaryPrefer not to anwerPlease provide your estimated business revenues from 2021Under $25,000$25,000 – $50,000$100,000 – $150,000$150,000 – $250,000Over $250,000Please provide your estimated business revenues from 2022Under $25,000$25,000 – $50,000$100,000 – $150,000$150,000 – $250,000Over $250,000Describe your businessHow much capital do you need to take your business to the next level and how would you use the money?How will your business make an impact on jobs, investment and prosperity in a Cleveland neighborhood? Please include the number of jobs that you believe will create in the first one, two- and three-years following the investment.Please provide your executive summaryLink to your application video100 words or less, tell us what makes your business unique *Submit