Ascend LA 2026 - Rolling Application

I acknowledge and agree to the following (all items must be checked):

I am submitting this application for one business only. If I own multiple businesses, I am applying based on my largest or primary business.I understand that submission does not guarantee selection into the Ascend LA program. All applications are reviewed based on eligibility, completeness, and program fit.If selected as a finalist, I may be required to provide additional documentation for program due diligence, which may include business and owner identification information (such as EIN/SSN/ITIN), financial records, and a W-9.I understand that Ascend LA, administered by LISC Los Angeles, may conduct due diligence and verification necessary to confirm eligibility and program participation.I acknowledge that information submitted is confidential and will be used only for program administration, evaluation, reporting, and related program purposes, in accordance with LISC's privacy policies and secure data systems (including FormAssembly).I understand that if selected, my business name, general information, and participation in Ascend LA may be used for program communications or promotional purposes by LISC and its partners, without additional compensation, where permitted by law.I understand that applications cannot be edited after submission, and I am responsible for reviewing my responses before submitting.I consent to being contacted by Ascend LA and LISC LA using the email address and phone number I provided, including follow-up communications related to my application, program updates, and future opportunities.

Are you applying for: A. Ascend LA Legacy Track (Industries: Construction, Professional Services, IT) or B. Ascend LA Tech Track: (Industries: Tech, Defense & Aerospace, Artificial Intelligence (AI), Machine Learning, Quantum & Frontier Technologies, Clean Energy & Battery Innovation, Advanced Manufacturing & Logistics etc.) or C. both?

What is your first name?

What is your last name?

What is the best email to contact you at?

Please provide a short personal bio (100 words or less)

Please select which of the following best applies to your role in your business (check all that apply)

Manage but do not ownOwn in partOwn in full

What is the name of your business?

What is your businesses' website, if any

What industry is your business in?

Please provide a brief description of your business' key products and services and industry specialty

Please provide a brief description of your business' types of clients/customers

Please provide a brief description of your business' primary business partners, if any (e.g., prime contractors)

What year was your business founded?

Do you have your own space to conduct your business in (besides your home)?

YesNo

What percentage of your business revenue comes from Los Angeles county? Estimate a number from 0 to 100.

Has your business been directly or indirectly affected by the LA wildfires?

YesNo

If yes, please briefly explain and mention any immediate needs you might have

Does your business operate in and/or serve a low-income or disadvantaged area/community?

YesNo

If so, please briefly explain

How many customers did you have in 2024?

Please enter your approximate revenue (sales) for 2024

Please enter your approximate revenue (sales) for 2023

Please enter your approximate revenue (sales) for 2022

If different than above, please enter your approximate NET revenue for 2024 - this is revenue minus material costs that you charged to your clients

If different than above, please enter your approximate NET revenue for 2023 - this is revenue minus material costs that you charged to your clients

If different than above, please enter your approximate NET revenue for 2022 - this is revenue minus material costs that you charged to your clients

What are your top 2-3 goals for participating in this program?

What would you say are the strengths of your business?

What would you say are the weaknesses of your business?

What would you say are your personal strengths and weaknesses as an entrepreneur?

List any local, state, or federal certifications (e.g., Minority Business Enterprise) or professional licenses that your business has

List any government agencies or large corporations that you have done business with in the past three years - briefly explain the type of products/services provided; feel free to summarize if there are several of these

List any government agencies or large corporations that you hope to do business with (if any); feel free to summarize

Within the last three years, has your business obtained any loans or grants from banks, other financial institutions, or foundations/government programs? If so, please provide the amount and purpose of the funds.

Upload Supporting Documents [Optional] (Capabilities Statement, Business Plan, Financials etc.)

Photo & Video Release: I grant permission for:
• Ascend LA, LISC LA, and program partners to capture and use photographs, video, or audio recordings of me and/or my business taken during Ascend LA programming.
• These materials may be used for marketing, storytelling, reporting, education, and promotional purposes across digital, print, and media platforms without additional compensation.

YesNo

Ascend LA 2026 - Rolling Application

Program Acknowledgment & Consent

Acknowledgment & Authorization

Ascend LA 2026 - Rolling Application

Personal Information

Business Role

Business Information

Wildfire Impact

Community Impact

Business Performance

Approximate Revenue (Sales) for Last Three Years

Approximate NET Revenue (Revenue minus material costs) - If different than above

Program Goals and Business Assessment

Certifications and Business Relationships

Financial History