Ready to Apply?

If you are interested and believe you are eligible for the funding, please fill out the Interest Form and one of our program representatives will reach out to you with more details and the next steps. The HSEF or SBC will confirm eligibility, help identify equipment and provide application assistance!

Fill out and submit the form below.

Name

First Name

Last Name

Business Name

City

County

Business Type

If "other" is chosen, provide more information below.

Business Type (if "other" chosen)

Eligibility Requirement (1)

Do you have 100 or fewer employees with average annual gross receipts of $15M or less?

Eligibility Requirement (2)

Do you currently accept EBT/SNAP/CalFresh benefits?

Phone

(###)

###

####

Preferred Method of Communication

Preferred Language of Communication

Language (if "other" chosen)

Best Day to Contact You

Best Time to Contact You