Lee Hornick, Co-owner of the Organic Mattress explains how SCORE has helped her business grow. Click here to view video

CONTACT US
Lehigh Valley Score, Lehigh University, Rauch Business Center, Room 390, Bethlehem, PA 18015
(610)758-4496
info@lvscore.org

SCORE is a Resource Partner with the U.S. Small Business Administration

With sponsorship support from the Ewing Marion Kauffman Foundation

Business Eligibility Application

To qualify the business must be:

A Lehigh or Northampton County business.
In-business for one year or more.
Owners primary source of income.

The business owner must:

Be a US citizen or green card holder.
Reside in the Lehigh or Northampton County.

* indicate required fields

* Business Name
* Business Address
Street1
Street2
* Zip
City
Country
State
* Business Telephone
* Business Owner Name
* Business Owner Address
Street1
Street2
*Zip
City
County
State
* Telephone
Email
* US Citizen/Green Card Holder?	Yes No
* Is business Registered in the State of PA?	Yes No
Business Description * Product or Service Provide a brief description of your business.
Number of Employees	Full Time Part Time

Financial Data
2008 Sales
2008 Net Income (1040)	Total Owner family income (Adjusted Gross Income-Tax form 1040 line 37) must be less that 200% of 2009 Federal Poverty Guideline ($44,000 for family of 4)
Other sources of Income for Owner
Applicant Agrees to sign up to meet with a SCORE Counselor (please initial) As part of this program you will be assigned a SCORE counselor (free of charge) to review your business plans.
Business Qualification
Date
Business Description
* Product or Service Provide a brief description of your business.
Target Customers Who are your target customers(i.e. age group, location)
Using Online Marketing? Does your business currently use the internet to market?
Competitors Who sells competing products or services.
Financial Status-past 3 years
Revenue List your revenue for the last 3 years.	Year 1 Year 2 Year 3
Expenses List your total expenses for the last 3 years.	Year 1 Year 2 Year 3
Net Profit List your net profit for the last 3 years.	Year 1 Year 2 Year 3
Current debt List your total debt including business loans, personal loans and credit cards debt.
Business Objectives Specific Goals
Revenue Plan Do you have a specific plan to grow your revenue?
Expense Plan Do you have any plans to reduce costs?
Income Goals Is the business expected to be profitable in the next year?
How will the applicant use the grant from the stimulus program? What type of financial support are you requesting?
Other factors which may impact applicants goals. Are there any factors which will help or hurt your ability to make you business successful?

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Business Eligibility Application

Financial Data

Business Qualification

Business Description

Financial Status-past 3 years

Business Objectives Specific Goals