VMC Mother Mentor Grant Application
Complete this application to apply for a grant as a mother who owns or co-owns a legally registered business operating for at least two years.
Applicant Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Instagram Handle
*
LinkedIn Profile or Website
Are you a VMC member?
*
Yes
No
Not sure
Have you attended a VMC event?
*
Yes
No
Event Name(s) Attended
Business Information
Business Name
*
Website
Business Instagram
Business City
*
Business State
*
Legal Structure
*
Please Select
LLC
Corporation
Partnership
Sole Proprietorship
Other
State of Registration
*
Official Registration Date
*
-
Month
-
Day
Year
Date
Years Operating
*
Please Select
2–3 years
4–5 years
6–10 years
More than 10 years
Upload Proof of Registration
*
Upload a File
Drag and drop files here
Choose a file
Cancel
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Business Description
*
Inspiration for Starting the Business
*
Revenue Status
*
Please Select
Yes
No
Pre-revenue but operating
Annual Revenue Range
*
Please Select
Under $25,000
$25,000–$49,999
$50,000–$99,999
$100,000–$249,999
$250,000 or more
Prefer not to say
Team Size
*
Your Story
How has motherhood shaped your entrepreneurial journey?
*
What challenges have you faced as a mother and business owner, and how have you overcome them?
*
Why do you and your business deserve this grant?
*
What is your proudest business accomplishment so far?
*
How has your business impacted your community?
*
Grant Impact
Intended Grant Uses
*
Equipment
Technology
Marketing
Branding
Website
Inventory
Training
Coaching
Legal/Accounting
Staffing
Operations
Product Development
Other
Detailed Cost Breakdown
*
6–12 Month Goal
*
Business Impact
*
How Impact Will Be Measured
*
Willing to Provide a Follow-Up Report?
*
Yes
No
Willing to Participate in VMC Promotional Features?
*
Yes
No
More information needed
Applicant Certification
I certify that I am the founder, owner, or co-owner of the business and that all information provided in this application is accurate and complete
*
I agree
Electronic Signature - Full Legal Name
*
Date
*
-
Month
-
Day
Year
Date
Submit Application
Submit Application
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