Good Enterprises | CBA Application

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If you have any questions, or if your name is spelled incorrectly, please call 843-801-3390




Contact Information












Emergency Contact

In the case of an emergency, who should we contact? (providing this is optional)



Please Indicate Your Class Time Preference




DEMOGRAPHIC & HOUSEHOLD INFORMATION

The following questions are asked so that we can provide the best possible services and for our internal purposes only. Our mission covers services to traditionally marginalized groups so we ask these questions to ensure we are reaching certain populations. However please note your eligibility to take part in the program is NOT effected by your responses to ANY of these questions.

Demographics 1



Date of Birth






Demographics 2

Do you identify yourself as a member of any of the following groups?
Our mission includes helping people from these groups.










Demographics 3





























Child Birthdates









SELF - Income Last Month









OTHER ADULT(S) IN HOUSEHOLD - Income Last Month









Cover Monthly Expense


SELF - Income Last Year









OTHER ADULT(S) IN HOUSEHOLD - Income Last Year










CBA PROGRAM FEE STRUCTURE

  • Up to 80% Local HUD Median Income - $150
  • 151% and above Local HUD Median Income - $375


If you selected YES above you MUST provide the following income documentation via email to the address brittany@lowcountrylocalfirst.org.

  • Proof of Current Personal Income
  • Proof of Current Household Income
Income verification documents can include: W2, Payroll Stub, Benefit Letter/Documentation, Unemployment Documentation, Proof of Disability Payments or Personal Affidavit.

Business Information













Business Details








Business Employees







Self Salary





Describe Your Business/Business Idea









SERVICE AGREEMENT