2026 MBIA Commercialization Impact Grant

2026 MBIA Commercialization Impact Grant - Application Form
Company Overview
What is the name of your company?
Name

First NameLast Name
What is your role at your company?
What is the best email to reach you?
example@example.com
What is the best phone number to reach you?
Please enter a valid phone number.Format: (000) 000-0000.
Please include the names of all members of the founding team, including titles (if applicable).
Address of Company's Principal Office

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Website
Company Founding Year
Affiliated MBIA Entrepreneurial Support Organization (ESO) Member
Which MBIA ESO member are you affiliated with?
Only portfolio members of ESOs who are active FY26 members of MBIA are eligible to apply.
Name, Title, and Email of ESO Director
Please upload a letter of support from ESO Director of the program with which the applicant is affiliated.

File must be submitted as a PDF.
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Funding Background
For the 2026 MCIG Program, MBIA is prepared to award up to $45,000 total, with a maximum award amount of $5,000 to each awardee. How much funding are you applying for with this grant?
Have you previously applied for funding from TEDCO?
Have you previously applied to another MBIA Grant Program, including the MCIG?
How much funding has your company raised from the founding team to date?
How much funding has your company raised from family to date?
How much funding has your company raised from angel investors to date?
How much funding has your company raised from grants to date?
How much funding has your company raised from other sources? Please explain.
What was your company revenue in the last fiscal year?
Include dates of the company fiscal year. If company follows the calendar year, provide information for 2025.
Demographics

Please complete the following section for statistical purposes only. Providing this information is voluntary and will not impact selection. MBIA and the MCIG review process will not discriminate on the basis of (i) political or religious opinion or affiliation, marital status, race, color, creed, or national origin, or (ii) sex or age, except when age or sex constitutes a bona fide occupational qualification, or (iii) the physical or mental disability of a qualified individual with a disability.
Is your venture at least 51% controlled (eg. President, CEO, or Executive Director) by an individual who identifies as a woman?
Is your venture at least 51% controlled (eg. President, CEO, or Executive Director) by an individual who identifies as a veteran?
Is your venture at least 51% controlled (eg. President, CEO, or Executive Director) by an individual with a disability?
What is the area designation your venture?
Please check the appropriate box identifying minority ownership (select all that apply):
Do you require any reasonable accommodations to fully participate in this grant program due to a disability?
If yes, please explain.
Venture
Company Description (Max: 200 words)

0/200
Please submit your company one page executive summary.

The executive summary can be front and back of a single page and must be submitted as a PDF.
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What makes you and/or your team uniquely qualified to succeed in this business? (Max: 200 words)

0/200
List your top three competitors and what makes your company's solution different. (Max: 200 words)

0/200
What stage best describes your company?
Briefly describe your innovation. (Max: 150 words)

0/150
How is your product, service, or technology innovative? (Max: 150 words)

0/150
Proposed Project
Describe your proposed project. (Max: 200 words)

0/200
How will the completion of this project advance your company and how do you plan to measure the success of this project? (Max: 200 words)

0/200
What are the anticipated costs of this project?
Do you have the ability to contribute to or to share the cost if the total cost for this project exceeds the $5,000 MCIG funding limits? If yes, please explain.
Submit a Project Budget

Accepted files: PDF, xls, xlsx, csv
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Please explain your project timeline. Note that awards will be announced in late June and all projects must be completed with the final reports submitted no later than September 30, 2026.
Who is your proposed vendor for this project? Please provide the vendor's name, address, and contact information.
Please submit a Scope of Work and Timeline from the applicant's proposed vendor.

If the applicant does not have a preferred vendor in mind, MBIA will work with the applicant, should their application be approved, to identify a vendor. Files must be submitted as a PDF.
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2026 MBIA Commercialization Impact Grant - Application Form

Company Overview

Affiliated MBIA Entrepreneurial Support Organization (ESO) Member

Funding Background

Demographics

Venture

Proposed Project