Vision2Life Media Grant

Vision2Life Media Grant Services Applicant Information

Please Fill out to the best of your ability and knowledge to be considered for a V2L Media Grant.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Website/Portfolio of work*
Social Media Handles*

Business Information: If Applicable

if you are a business applying for Creative services for a business grant, please fill this section out. if you are a creative, please move to the next section.
Business Name
Field of Business
Brief Description of Your Business
How Long Have You Been in Operation/Existence? (in years)
What Are Your Primary Services or Products?
Describe Your Target Audience
What is the mission/purpose of your Business?

Creative Information: If Applicable

if you are a Creative applying for Creative services for a creative grant, please fill this section out.
Artist/Creative Name
Type of Artist

Option 1Option 2Option 3
Brief Description of you as an Artist/Creative
How long have you been consistently making Art? (in years)
What Motivates you to create?
Describe Your Target Audience
What is the mission/purpose of your Artistry?

Grant Request Details
Which Services Are You Applying For? (Select all that apply)*

Option 1Option 2Option 3
Please specify if you selected 'Other'
What would you like to create?*
Describe How This Grant Will Benefit Your Business/Artistry*
What Specific Goals Do You Aim to Achieve with These Services?*
What sets you apart from the others in your field?*

Financial Information
Current Household Annual Revenue*
Do You Have Any Existing Funding or Sponsorships?*

Option 1Option 2Option 3
If yes, please provide details:
If you are an official non profit, please provide details to what your non profit mission is.

Supporting Information
Tell Us About a Recent Project or Achievement:
How Do You Plan to Sustain Your Business/Artistry After Utilizing the Grant Services?
Please Provide Any Additional Information You Believe Is Relevant to Your Application:

References

2 Professional references and 2 Personal References. 4 References total required.
2 Professional Refs: Name, Relation, Phone number, Years of relationship
2 Personal Refs: Name, Relation, Phone number, Years of relationship

Declaration

I hereby declare that the information provided in this application is true and correct to the best of my knowledge and give Vision2Life Media LLC the permission to contact references listed in this application.
Signature*

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