Propeller Meet the Lender Interest Form
Page 1
First Name
Last Name
Phone Number
Email
Business Name
How long has your business been in operation?
Please select...
Less than 1 year
1–2 years
3–5 years
6–10 years
More than 10 years
What is your business structure
?
Please select...
Sole proprietorship
LLC
Partnership
S Corporation
C Corporation
Nonprofit
Other
I'm not sure
Which best describes your current interest in business financing
?
Please select...
I am actively looking for financing now.
I expect to need financing within the next 6 months.
I am exploring my financing options.
I am not currently seeking financing, but I want to learn more.
I am primarily interested in building relationships with lenders.
Other
Have you applied for a business loan or other business financing within the past 24 months?
yes
no
If yes, What was the outcome
?
Please select...
Approved and received financing
Approved, but did not accept the financing
Partially approved
Denied
Application is still pending
Other / Not sure
Do you currently have business debt or loans
?
yes
no
What would you use the financing for
?
Please select...
Working capital / cash flow
Equipment
Inventory
Payroll / staffing
Marketing
Business expansion
Commercial real estate
Renovation / buildout
Vehicle
Debt refinancing / consolidation
Startup costs
Other
Are your business taxes current?
Please select...
Yes
No
In progress
Not applicable
I'm not sure
Are your current business financial statements available?
Please select...
Yes, and they are current
Yes, but they need to be updated
No
I'm not sure what financial statements I need
Do you currently have a business banking relationship?
yes
no
maybe
If yes, which financial institution do you currently bank with
?
What would you most like to get out of the Meet the Lender event
?
Discuss a specific financing need
Learn about available loan products
Understand what lenders look for when reviewing applications
Get feedback on my financing readiness
Meet and build relationships with lenders
Learn how to improve my business financials
Explore financing options for the future
Other
Their Demographic Info
With which racial or ethnic group(s) do they identify? (Hold CTRL Key for PC and Command Key for Mac to select more than one)
Please select...
American Indian or Alaska Native
Asian
Black or African American
Hispanic, Latinx, or Spanish origin
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
I prefer not to respond
Another race or identity not listed here
If other race or ethnicity, feel free to specify:
What is their gender identity?
Please select...
Woman
Man
Non-binary or genderqueer
They prefer not to say
They prefer to self-describe
If they prefer to self-describe their gender, feel free to specify:
City of Birth (optional)
How prepared do you feel to have a conversation with a lender about your business and financing needs?
Please select...
Very prepared
Somewhat prepared
I'm not sure what lenders will need
I would like help preparing before speaking with a lender
Lender Match Making
Briefly describe your business.
What makes your business unique or what problem does your business solve?
Approximately how much financing are you seeking
?
Please select...
Less than $10,000
$10,000–$24,999
$25,000–$49,999
$50,000–$99,999
$100,000–$249,999
$250,000+
Not sure yet
What is your primary goal for the next 12–24 months?
Is there anything specific you would like a lender to know about your business or financing needs before the event?
Would you like your business information to be included in a profile sheet shared with participating lenders
?
Please select...
yes
no
I am not sure
If yes, do you consent to Propeller sharing the information you provide in this form with participating lenders for the purpose of facilitating conversations at or related to the Meet the Lender Event?
Please select...
yes
no
Contact Information