Funding Appeal Form
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Disclaimer
This form is only for applicants to request funding for their business ideas or side hustles they are actively pursuing. This form is only to be filled out for those with genuine interests of entrepreneurship, not for any other purposes. Funding will not be granted for those who are untruthful or appear to be untruthful about their intentions. For more information on needed credentials, please visit our FAQ's page and REQUIREMENTS FOR FUNDING page prior to filling out this form.
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Information About You
Complete all sections unless otherwise specified
Name
First Name
Last Name
Age
Date of Birth
-
Month
-
Day
Year
Date
Do you have parental consent to use our services?
Yes
No
I am 18 or older
Do you or your parents consent to a background check being run on you? (This is so we can make an informed decision. All information will be kept confidential)
Yes
No
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Were you referred to our services by a friend?
Yes
No
If so, what is their name?
Do you have a business partner(s)?
Yes
No
If so, how many?
One
Two
Three
Four or more
Business Partner Information
Only fill this section out if you have a business partner(s)
Name
First Name
Last Name
Age
Date of Birth
-
Month
-
Day
Year
Date
Do you have parental consent to use our services?
Yes
No
I am 18 or older
Do you (or your parents) consent to a background check being run on you? (This is so we can make an informed decision. All information will be kept confidential)
Yes
No
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Information About Your Business
Complete all sections unless otherwise specified
Do you already have a business or side hustle?
I do have a business or side hustle already
I do not have a business or side hustle, but I do have an idea I want to pursue
What is your current business? Describe in great detail. Include all relevant information and anything you feel is important. Don't be stingy! Act like you are pitching to VC's. The more you include the more likely we are to fund you!
Only answer if you selected "I do."
If you currently have a business, please provide a website, social media accounts, etc. so we may verify your business.
Only answer if you selected "I do."
What is the idea or hustle you want to pursue? Describe in great detail. Include all relevant information and anything you feel is important. Don't be stingy! Act like you are pitching to VC's. The more you include the more likely we are to fund you!
Only answer if you selected "I do not."
How much money do you need?
*Only put the number, no dollar signs. Requests can range anywhere from $20-$750. Special accommodations and counter offers can be made depending on the circumstances.
What do you need the money for? Describe in great detail.
How will you benefit from the money? What value will this money provide you and in your goals?
Why should we fund YOU? What makes you and your idea unique and different from others?
How would you like your funds to be sent?
Wire Transfer
Check (Direct Deposit)
Which wire transfer softwares do you use? Select ALL that apply. For your safety and ours, PayPal is highly preferred over Zelle and Venmo.
Paypal
Zelle
Venmo
I do not have any
I am using a check
Include your PayPal, Zelle, and/or Venmo usernames and information here
Are you planning on returning the money to us in full?
Yes
I will pay back the money in installments
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Reference One
Provide a reference who can vouch for you and attest to your credibility
Name
First Name
Last Name
Relation to the reference
*Friends are not to be listed as references
Age
*must be over 21
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Reference Two
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Reference Two
Provide a reference who can vouch for you and attest to your credibility
Name
First Name
Last Name
Relation to the reference
*Friends are not to be listed as references
Age
*must be over 21
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Reference One
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Letter of Recommendation
Attach a letter of recommendation from a trusted advisor
Ensure your letter has all these components
Who they are
Where they work
How they know you, and for how long
Attributes they notice in you
Why you would be a good applicant
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Terms & Conditions
By submitting this form, I certify that I am requesting money for entrepreneurial use only. I certify that everything listed in this form is correct to the best of my abilities. I understand that I am allowing the owner of this form to contact me as well as any listed references to attest to my credibility. I understand and accept that this appeal, and future appeals can be denied if I am untruthful or appear to have been untruthful. I acknowledge that the owner of Unified Microfinancing can give a counter offer as to how much money to fund me depending on the circumstances. I understand that if my appeal is accepted I am required to follow up with Unified Microfinancing on my progress and send in testimonies and/or photographs of my undertakings within one month. I understand failure to do so with any of these will result in a ban from future appeals. I understand that I am either required to return the funds back to Unified Microfinancing in full once I am able to do so, or pay the money back in installments, therefore helping this company amplify and scale their mission, make it a self-sustaining entity in the long run of helping aspiring entrepreneurs.
I hereby sign and confirm that I have read, understand, and consent to all listed terms and conditions, and certify that all above information is correct to the best of my ability.
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Please verify that you are human
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