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#### USA Funding Applications Database

# Registration Form

Step 1 of 3: Tell us about You and Your Funding Needs

#### Choose which type of funding you are interested in:

Business
Community Assistance
Education
Home Buyers
Home Repairs
Inventions
Minorities / Demographic
Misc
Non-Profit
Personal (Bills, Rent, Utilities, etc.)
Real Estate
How much money are you going to need?
Less than $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 or More
Citizenship Status:
U.S. Citizen
Resident Alien
Green Card Holder
Permanent Resident
Not Sure
Zip:
Gender:
Male
Female
What is your age?
18-25
26-34
35-49
50-65
66-80
80+
Ethnicity:
White/Caucasian
African American
Black
Hispanic
Latino
Asian
Native American
Indigenous
Arab
Middle Eastern
Pacific Islander
Multi-racial
Other
Employment Status:
Employed Full-Time
Employed Part-Time
Self Employed
Unemployed
Retired
Collecting Social Security
Disabled
Phone Number:
Briefly Describe How You Will Use The Money:
How Soon Do You Need The Money?
What Email Address Would You Like To Use As Your Username For Your Online Application Account?
** Your email is safe. We hate spam as much as you do!! ** Your Email will be your username for this website. Please double check it to be sure it is accurate!
First Name:
Last Name:
By Clicking, I Agree To The Terms Of This Site and Our Privacy Policy, And Am Providing My Electronic Signature Authorizing USA Funding Applications and it Affiliates To Contact Me By Email, Text, Or Phone Regarding My Funding Applications Service Account With Any New Funding Services Or Sources That May Become Available.
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