Morgan County Grant Application
Business Information
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Information
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Business Registration #
Date Business was registered
-
Month
-
Day
Year
Date
Business License Number
EIN/FEIN
Entity Structure
Website
Social Media Page
Employees
Number of each
Full-time
Part-time
Contract
Please include gross revenue/sales for applicable years
Revenue
2021
2022
Projected 2023projuected 2021
Ownership Information
Name
First Name
Last Name
Ownership %
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Position
Add an owner
Yes
No
Name
First Name
Last Name
Ownership %
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Position
Add an owner
Yes
No
Name
First Name
Last Name
Ownership %
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Position
Add an owner
Yes
No
Name
First Name
Last Name
Ownership %
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Position
Funds Request
Amount Requested
How will you use the funds?
Use of Funds
Amount
Description
1
2
3
4
5
Why should you receive the Grant money?
Questionnaire
Who referred you to the Morgan County Grant Program?
How long have you been in business?
Do you have any outstanding child support?
Yes
No
if yes, please explain
Are you a Veteran?
Yes
No
Are you a US Citizen?
Yes
No
Are you currently under indictment?
Yes
No
if yes, please explain
Document Upload
Upload Profit & Loss
Browse Files
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Finish Application
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