Thank you for your interest in joining Rising’s economic development programs! We recently received a grant to support the training of 20 new participants to join our Rising Representative Program. In the program, you will learn to be a social impact entrepreneur and run your own Rising business.  The grant has very specific eligibility requirements.

  • Do you identify as female?
  • Are you 18 years or older?
  • Do you live in Santa Cruz or Monterey Counties?
  • Do you have an SSN (social security number) or an ITIN (individual tax identification number)?
  • Is your gross monthly income at or below the amount indicated in this chart (HUD.gov guidelines)?

MONTEREY COUNTY

Family Size 1 2 3 4 5 6 7 8
Income Limit $2829 $3233 $3638 $4038 $4363 $4688 $5008 $5333

SANTA CRUZ COUNTY

Family Size 1 2 3 4 5 6 7 8
Income Limit $3863 $4417 $4967 $5517 $5958 $6400 $6842 $7283
AMOUNTS AS OF 03/2021

If you answered yes to all of the above, and meet the household income eligibility as shown in the chart, please proceed with filling out the questionnaire below. The purpose of the questionnaire is to help us determine the type of support you will need in the program, and whether this specific program is a good fit for you at this time. Please know that the information you provide is confidential and will not be released without permission.

RISING QUESTIONNAIRE

PERSONAL INFORMATION
Mailing Address: *
Mailing Address:
Street Address / PO Box
Address 2
City
State
Zip
Are you 18 years or older? *

PERSONAL STATEMENT

EDUCATION INFORMATION

LANGUAGE INFORMATION

TRANSPORTATION
Do you have access to a car? *
Do you have a valid driver's license? *

WORK INFORMATION
Are you currently working? *
Have you ever owned or managed a business? *

INCOME INFORMATION
$
$
$

TECHNOLOGY
Can you access a computer and email? *
Do you have a smartphone? *

REFERENCES
Three References Required - Please list one personal reference and two professional references.

DESIRED SKILLS
Please check the TOP 5 areas of coaching and support that you'd like to receive from Rising:
Please check the TOP 5 areas of coaching and support that you'd like to receive from Rising: *

ANYTHING ELSE?
Is there anything else that you'd like us to know that may be important and contribute to your success as a member of Rising?
When you're sure your information is correct, please use this button to send it to us. Thank you!