GRANT APPLICATION
Contact Information
Full Legal Organization Name
*
Organization Website
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization President / Executive Director
*
First Name
Last Name
Title
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail Address
*
example@example.com
Contact Person
*
First Name
Last Name
Title
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail Address
*
example@example.com
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Organization Information
501(c)(3)?
Yes
No
Year Established
Business Name
*
Business Address
*
Total Organization Budget
Total # of Board Members
Total # of Staff
Total # of Volunteers
Organizational Mission Statements
*
Brief Description of Organization
*
Vendors Needed To Start Business ?
*
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Proposal Request
Requested Amount
*
Max $500
Grant Period From
-
Month
-
Day
Year
Date
Grant Period To
-
Month
-
Day
Year
Date
Need Business Coaching?
*
Yes
No
Funding Plans
*
Vendor Rules
All Completed Applications Will Be Granted 1 Vendor To Help Jump Start Business ‼️ Grant Winner Will Receive 2 Vendors Of Choice And 1 Packaging Vendor Plus $500 Cash Prize To Jump- Start Business ‼️Please Choose From The Following Below ( 1 Winner Will Be Chosen, Every Application Will Receive 1 Vendor Of Choice)
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Please Select Vendor Of Choice! 1 Per Application
Retail Clothing
Home Decor
Eye Lash Supplier
Virgin Hair Extensions
Submit
My Products
*
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Grant Application
Grant Application
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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