Paycheck Protection Program (PPP-2)

Round 2 Intake Form

A new round of funding for the Paycheck Protection Program (PPP), administered by the SBA, continues the availability of much-needed financial support for eligible small businesses to help keep employees and stay open safely during the COVID-19 pandemic.

Steps to Apply:

1. Complete Wacif's Round 2 Intake Form by submitting your information below.. This is the first step in the process. You must complete this Intake Form AND complete the next step of the process.

2. After you submit this Intake Form by submitting information below, you will be taken to the Official PPP Application to apply for a PPP Loan in partnership with our partners at SmartBiz.

Primary Business Owner Personal Information

This information should be completed by/for the owner of the business or chief executive of the nonprofit.

Primary Owner First Name*

Primary Owner Last Name*

Primary Owner Email*

To avoid delay in processing PPP loan, please use the email address of the Primary Business Owner.

Primary Owner Phone Number*

Primary Owner Mobile Phone Number*

Primary Owner Address (Residence)*

Primary Owner City (Residence)*

Primary Owner Zip Code (Residence)*

Primary Owner County (Residence)*

Primary Owner State (Residence)*

Primary Owner % of Business Ownership*

Value must be submitted a in a numerical format (i.e. 50, 100). Do not include the "%" sign.

Primary Business Owner Demographic Information

Wacif is committed to inclusion, equity, and creating economic opportunity. The following information is being collected as an opportunity to provide you and your business/nonprofit with new resources (small business funding, services, and programs), and will not impact your application for the Paycheck Protection Program (PPP).

Gender*

Primary Owner Gender

Age Range*

Primary Owner Age Range

Military Status*

Primary Owner Military Status

Criminal Record*

Primary Owner Criminal Record

Marital Status*

Primary Owner Marital Status

Household Size*

Primary Owner Household Size

Household Income 2019*

Primary Owner Household Income 2019

Household Income 2020*

Primary Owner Household Income 2020

Highest Level of Education*

Primary Owner Highest Level of Education

Business Information

Company name*

Year Established*

Type "N/A" if the business has not been established

DUNS Number*

To find your D-U-N-S Number Click Here. Enter "N/A", if not applicable.

Address (Business)*

City (Business)*

Zip Code (Business)*

County (Business)*

State (Business)*

Ward (Business)*

Business Website*

If no business website, enter "N/A" below

Brief Description of the Business*

Industry (NAICS)*

In what industry does your business operate? Click here to find your NAICS Code.

Number of Full-Time Employees*

Please write any full-time employees and contractors including yourself if applicable

Number of Part-Time Employees*

Please write any part-time employees and contractors including yourself if applicable

Annual Revenue 2019*

Annual Revenue 2020*

Paycheck Protection Program (PPP) Information)

Are you applying for your SECOND PPP Loan?*

Answer YES if you obtained a PPP loan in 2020, and are applying for your second PPP loan.

What is your average monthly payroll?*

Requested PPP Loan Amount*

Loan amounts are based on your average monthly payroll multiplied by 2.5x. For Accommodation and Food Service Industry, loan amounts are multiplied by 3.5x. For example, if your average monthly payroll is $10,000, your PPP loan amount requested should be $25,000 ($10,000 x 2.5 = $25,000), or if you are in the Accommodation and Food Service Industry, $35,000 ($10,000 x 3.5 = $35,000).

Additional Loan Capital*

Are you in need of additional loan funding?

Next Step After Form Submission

This Intake Form is NOT the PPP loan application. Once you submit this Intake Form, you will be taken to a new page where you will officially begin the PPP loan application process with SmartBiz. You have to complete and submit the Official Application with SmartBiz to apply for a PPP loan.

Please submit the Intake Form by clicking "Submit" below, and proceed to the next step of applying for the PPP loan.