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Business Loan Inquiry
Business in Operation Since:
Did you receive a grant or loan from Park Community Credit Union between March and August 2021?
What is the street address of your business?
Number or owners/partners
Number of Employees
Are you located in, provide significant services to, or do most of your employees live in one or more of these neighborhoods: California, Chicasaw, Park DuValle, Park Hill, Algonquin, Parkland, Portland, Russell, Shawnee, Shelby Park, Smoketown?
How would you describe yourself?
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
How would you describe your ethnicity?
Do you have a disability of any kind?
How would you describe your gender?
Prefer not to answer
Inquiry completed by:
Title or business relationship of party completing this eligibility questionnaire
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