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Interest Form
LA OPTIMIZED 2.0 

Thank you for your interest in applying to LA Optimized 2.0.

 Please sign up below to get on our waitlist.

Applicant Information

Business Location

City Council District Number

Registration Information

You can find your BTRC here; enter the location account # that corresponds to your business.

Were you referred by a BusinessSource Center?
Yes
No
If Yes, which location?
Is your business in a Jobs & Economic Development Incentive (JEDI) Zone?
Yes
No
Unknown

Search by business here; click on the Economic Development Areas tab under JEDI to confirm your business is located in a JEDI zone.

Is this a “brick and mortar” business?
Yes
No

Does your business operate in a physical location, store, or office?

Is your business currently open?
Yes
No
Is your business a For Profit or Non Profit business?
For Profit
Non Profit
How many full time employees does your business have, including yourself?
What industry is your business in?
Describe how the COVID-19 pandemic impacted your business (Check all that apply)
What was your 2021 Annual Revenue?

General Information

Preferred Language

Demographics

You may select "Prefer not to answer" for any question.

What is your age?
Do you have a disability as defined under the Disability Discrimination Act?
Yes
No
Prefer not to answer

The Americans with Disabilities Act defines an individual with a disability as a person who:

● Has a physical or mental impairment that substantially limits one or more major life

activities.

● Has a record of such an impairment.

● Is regarded as having such an impairment.

Which of the following categories best describes your military status?
What is your gender?
Please indicate your race. Select all that apply.
Do you identify as a member of the LGBTQ+ community?
Yes
No
Prefer not to answer

I certify that, by submitting this application for review and consideration for LA Optimized 2.0, for or on behalf of my business entity, I have not intentionally provided any material misrepresentation and/or falsification of my eligibility to secure services under this Program. I certify under penalty of perjury that the submitted information is complete and accurate to the best of my knowledge. I also understand and certify that to participate in the LA Optimized 2.0 program, my business was affected by the COVID-19 pandemic and grossed less than $7.5 million in 2021. 


Click 'Submit' to complete your application submission.

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