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Small Business Technical Assistance Program Application

  1. (required)
  2. (required)
  3. Gender
  5. Ethnicity (optional)
  7. (valid email required)
  8. (required)
  9. (required)
  10. (required)
  11. (required)
  12. (required)
  13. (required)
  14. (required)
  15. (required)
  17. Business Type:
  19. (required)
  20. Business Formation:
  27. Are you interested in Small Business Financing with BCDC?
  29. Are you currently providing goods/services to the City of Newark?
  31. If no, are you interested in procurement opportunities with the City of Newark?
  33. Are you certified as an M/W/S/DBE with any New Jesey State Agency?
  35. If you are certified, please indicate your certification:
 

This application does not obligate Brick City Development Corporation (BCDC) to provide technical or financial assistance to any business. All applications for prequalification will be reviewed and evaluated independently. Technical and financial assistance can only be provided to businesses that meet the eligibility guidelines established by BCDC. By submitting this document, I certify that all statements contained herein are true to the best of my knowledge. I understand that BCDC reserves the right to deny technical and financial assistance to any business that does not meet the eligibility requirements.

BY SUBMITTING THIS FORM I CERTIFY THAT ALL INFORMATION ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.