Apply for a Grant

If you would like to have this form emailed to you, please contact us at info@smallbusinessgrowthfund.com

Name(Required)

First Last

Company Name

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Website

Amount Requested(Required)

Please enter a number from 50 to 5000.

Length of time in business(Required)

How will you use this money?(Required)

Our mission is to help small businesses grow and be sustainable. How will this grant either sustain and/or help grow your business?

Do you have a business license?

Yes

Please tell us why you do not have a business license.

(Not having one doesn't disqualify you - just help us understand why you don't have one)

Depending on the amount requested, we may ask to see your financial statements (a Balance sheet and a Profit/Loss Statement). Would you be willing to share that info with us?

Yes

We also offer business consulting as part of this process. Would you like to talk with us about your current situation and your future plans/hopes?

Yes

If you are requesting reimbursement for something already purchased (equipmen education, supplies), please attach a copy of the receipt to this application.

Yes

Please upload receipts for something already purchased.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 12 MB, Max. files: 4.

Please feel free to make additional comments that will help us assess the impact this grant could have on helping your growth and sustainability.

Signature(Required)

Date