Multicultural Catalyst Fund GRANT Interest Form

Multicultural Catalyst Fund GRANT Interest Form - Round 3
Thank you for your interest in the Multicultural Catalyst Fund Micro-Grant Program.

The application window is set to open in 2023. If you would like to stay informed of when the application is available, please complete the following form to be added to the email list.

If you have any questions about the grant program, please email Jeremiah Robinon at jeremiah@mountainbizworks.org.
Personal Information
Name*

First NameLast Name
Email Address*
Phone Number*
Demographic Information

The following information is required for program reporting and statistical monitoring. Your response to these questions will not affect consideration of your application.
How would you describe your race?*

AsianLatinoBlack or African AmericanNative AmericanWhiteMulti-RacialUnknown / Not StatedOther
How would you describe your gender identity?*

FemaleMaleNonbinaryPrefer not to answerOther
Primary Language*

EnglishSpanishOther
Business Information
Business Name
Business Stage - Please select the current stage of your business:*

Ideation/Pre-revenue: I have not started selling yetStartup: I have started selling my product(s)/service(s)Early stage: My revenue is increasing and I am able to keep up with the demandScaling up: I want to maximize capacity by condensing outputs so our profit margins and operations increase.Mature: Have achieved a comfortable level of success and am maintaining and fine-tuningExiting: I want to exit by selling or closing my business or converting ownership
Should be Empty:

Multicultural Catalyst Fund GRANT Interest Form - Round 3

Personal Information

Demographic Information

Business Information