Apply For Small Business Assistance

This application captures information about you and your small business. The information you provide will help us connect you with a variety of resources to help you grow–either directly from JumpStart, or through one of our many partner organizations across Northern Ohio.

After submitting your application, a JumpStart team member will contact you. We may ask additional questions and request any additional information needed to connect you with the right resources.

Small Business Assistance Application

Contact Information









Business Needs


Company Information

















Business Concept






Demographic Information
Your feedback is important. JumpStart collects information on race, gender, and ethnicity to help advance improved economic outcomes for all entrepreneurs, including those historically disconnected from resources like capital, high-impact services, and network connections. The data demonstrates the impact to funders, community stakeholders, and civic leaders and informs our resource delivery practices. Thank you for completing this section.



PLEASE READ BEFORE HITTING THE SUBMIT BUTTON

In order to serve you, JumpStart personnel will need to familiarize themselves with your business and financial status. By agreeing to these terms, you agree to provide JumpStart with the business and financial information necessary to carry out its assessment. JumpStart will treat this information carefully and confidentially, and will share it publicly only when aggregated with other clients (unless you have previously made the information public). As part of JumpStart's normal collaborative work, the organization will share information with its partner organizations only if it believes it will benefit you and your business. Advice and opinions given by JumpStart to you and your company are intended solely for your benefit. JumpStart disclaims and you waive all warranties related to the assistance it provides to you. Neither JumpStart nor its directors, officers or employees shall be liable to you for damages, including, without limitation, loss of profit or business opportunity.