Click here to download a copy of the application. You will need Adobe Acrobat Reader and should be able to type your responses directly into the document, save, print, and email the file. You can also print a blank version of the application and fill it out by hand.
This application can be forwarded to anyone who is interested.
This application is an initial assessment designed to help us understand you, your business, and why you are interested in the program. This information will be kept confidential. If selected for an interview, please note that you will be asked to complete an Interview Addendum and submit supporting documentation.
There are several ways to submit your completed application:
- By email:
- By fax:
Please include a cover page addressed to:
10,000 Small Businesses, Long Beach City College
- By mail:
Long Beach City College
10,000 Small Businesses
4901 East Carson Street, Mail Code 0-5
Long Beach, CA 90808
Questions? Please call (562) 938-5054