Existing Business Grant Form
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BusinessTax ID#
Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
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Are you the owner of the business applying for the grant?
Are you 18 years or older?
Business Website
Social Media Pages
Business Type - Restaurant,Candles,Beauty,etc
Business Designation Type
Veteran-Owned
Woman-Owned
Black-Owned
Latin-Owned
Minority -Owned
How many years have you been in business?
How many employees do you have?
What was your average annual sales revenue in 2019?
What was your average annual sales revenue in 2020?
Do you agree to participate in all meetings over the 2 months of the program?
Please submit your link to your 3-5 minute YouTube video. The video should be about why your business should be accepted into our program and how it will help your business grow?
Submit Form
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