Entrepreneur/Business Grant Application
SECTION 1: Applicant Info
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Business or Organization
*
Website or Social Media
*
Are you neurodivergent or a business that caters to neurodivergents?
*
I am neurodivergent and starting a business
My business caters to neurodivergent travel or experiences
Other
SECTION 2: Project Proposal
Describe your business or project
*
Who does it serve and how?
*
How does this support neurodivergent travelers or creators?
*
What stage is this project in?
*
Idea
Planning
Pilot
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SECTION 3: Funding Request
Amount requested
*
How will the funds be used? (breakdown or estimate)
*
Timeline: When will the project be completed or launched?
*
SECTION 4: Impact & Engagement
How many people do you hope to reach or serve?
*
Are neurodivergent individuals involved in the design, leadership, or delivery of this work?
*
Yes
No
Optional: Upload any supporting documents (pitch deck, video, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
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SECTION 5: Consent
I agree to provide a brief impact report or video testimonial if selected.
*
Yes
No
Signature
*
Continue
Continue
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