Alamance Chamber Small Business Grant Program

Small Business Grant Program

Offered by the Alamance County Economic Development Foundation and the Alamance Chamber
Introduction

If you have not already reviewed the grant eligibility criteria and program guidelines, we strongly encourage you to do so before filling out your information. It will also be helpful to read through the application and gather all pertinent information ahead of time. You may find the eligibility criteria and other information on the Chamber website: www.alamancechamber.com/small-business-grant-program/.
You are eligible for this grant if:
- Your business is located in Alamance County, NC, in areas zoned appropriately for their use.
- You and your businesses are not past due on any taxes, fees, or fines.
- You and your business are current with any existing loan payments.
Please have the following documentation prepared for upload before starting your application:
- Grant Narrative/Use of Funds
- Business Financial Statements
- Most Recent Business Checking Account Statement(s)
- Business Plan
- Photo ID
- Any additional pertinent materials you wish to provide
The Alamance County Economic Development Foundation graciously provides funding for this program through its economic development programming. Private donations are welcome to supplement this fund.
Personal Information

Note to applicants: All information provided/submitted via this form will be held in the strictest of confidence by the Grant Committee unless necessary for application underwriting procedures.
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
SSN*
Date of Birth*

MonthDayYear
Date
Daytime Phone Number*
Please enter a valid phone number.
Drivers License #*

Business Information
Is your company located in Alamance County, North Carolina?*

YesNo
Has your company had a connection with business counseling services through organizations such as the Small Business Center (SBC), Service Corps of Retired Executives (SCORE), Small Business and Technology Development Center (SBTDC), or Alamance Chamber?*

YesNo
Date Business Opened?*

MonthDayYear
Date
Business Name / DBA*
Business Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*
Please enter a valid phone number.
Business Email Address*
example@example.com
Please list your Business Website Address
Please select all that apply to your business

Minority OwnedWomen OwnedVeteran Owned
Does your business have more than one owner?*

YesNo
If yes, please describe the ownership structure and % of ownership
Describe your business including, (but not limited to): a detailed description of your product/service, pricing, distribution channels, marketing strategy, and competitive advantages.*
Who are your current and potential customers?*
Who are your current and potential competitors?*
Describe any sources of funding (other than this grant) that your business has received.*
What business debt do you currently carry? This includes any past due taxes, fees and/or fines. Explain in detail.*
How many paid, full-time employees, (including yourself, if applicable), does your business have?*
How many paid, part-time employees, (including yourself, if applicable), does your business have?*
What employment benefits do you offer? If none, enter not applicable.*
Describe your business' potential to add new jobs, now or in the future. *

Grant Request
Grant are not eligible for the following uses:
- Towards the cost of any tax implications of receiving the grant funds
- Re-granting funds and/or utilizing funds to cover a product or service that would be donated by the business
- Purchase of equipment or improvement of real estate, intended for personal use
- Political activities
- Paying off or reducing existing bank debt or investor loans
- Rent, mortgage, or for any other means to secure or occupy real property
- Owner salary
- Speculative ventures (Example: cryptocurrency purchases, commodity futures)
- Lending or investment
- Real property held for sale or investment
- Pyramid sales – distribution plan businesses
- Foreign-controlled businesses
- Private membership clubs
I am applying for a:*

Launch Grant ($1,500 - $5,000)Growth Grant ($5,000 - $15,000)
What is the total amount of funding your business currently needs?*
What is the amount of your grant request?*
Please select which use of funds category/categories your proposal correlates with. (Must be the same listed in your submitted Grant Narrative)*

Working CapitalPurchase of Equipment/MachineryPersonnelOther

Grant Narrative/Use of Funds*

Please explain in detail your need for funding and, if you receive an award, how you intend to use it. Include any price quotes, spreadsheets, or other supporting documents. Please also address: (1) How will you fund any gaps between the total amount your business needs and any grant monies received; (2) What are the anticipated benefits from any grant monies received; (3) What is your business' growth trajectory and why do you need this grant to be successful?
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Business Financial & Checking Account Statements*

2022 year - end, and most recent income statements, balance sheets, P&L, etc.
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Business Marketing Plan

A marketing plan is important to submit if you are applying for a Growth Grant
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Photo ID*

Example: A driver's license or passport
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Current W9 Form*

You may access and download the form at: https://www.irs.gov/pub/irs-pdf/fw9.pdf
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Company Logo

Preferred formats: JPEG or PNG
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Any additional material you wish to provide (any videos must be 5 minutes or less)

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Assurances & Certifications
Certification for Accuracy of Information*

I certify that the information I am submitting is true and accurate to the best of my knowledge. Information that I submit that cannot be verified may be cause for the rejection of my grant application.
Media Consent*

I understand that by submitting this application, I hereby give my consent to the Alamance Chamber and the Alamance County Economic Development Foundation to use my name, company name, images/photographs, and logos in its communications, digital and print media.

End of Application

Thank you for your submission!
To finalize your submission, please click the 'Submit' button below. We are accepting applications through 5:00pm EST on Friday, June 30, 2023. A review period for all applications will be conducted through August 31, 2023, by the Grant committee. We expect grant award notifications to be made on/around September 1, 2023. During the review period, should any questions arise about your application, you will be contacted directly.
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Small Business Grant Program

Introduction

Personal Information

Business Information

Grant Request

Assurances & Certifications

End of Application