Grant Packet Questionnaire Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailPhone NumberBusiness Name (If applicable)Business WebsiteWhere is your business primarily based?Do you have other locations? (Separate locations with a ";")Industry *Brief Description of Your Business, Organization, or Project * Grants? Matters: the Legal Structure (if applicable)For-profit, Non-profit, or Other *For-ProfitNon-ProfitOtherIf Other, Please ExplainCertifications and Special Designations: (e.g., MBE, WBE, HUBZone, 501(c)(3), etc.)Why Are You Pursuing Grant Funding? (Explain your motivation and goals for applying for funding.) *What Do You Plan to Fund? (e.g., equipment, hiring, marketing, software development, community programs, etc.) *Describe the Impact This Funding Will Have on Your Business/Organization/Idea: (e.g., expansion, new product development, addressing a specific challenge, etc.) *What Long-Term Goals Will Any Funding Received Help Support? (e.g., growth targets, innovation, community impact, etc.) *What Makes Your Business/Organization/Idea Unique? (e.g., your mission, values, technology, or expertise.)Describe the Problem You Are Solving and Why It Matters: (Explain the significance of your work or project.)Do You Have a Specific Project in Mind for This Grant? *Yes (Please provide details below.)NoIf Yes, Please Provide a Description of the Project: (Include the project's objectives, timeline, and anticipated outcomes.)Who Will Benefit from This Project? (e.g., target customers, community groups, specific industries, etc.) *Are There Any Partners or Collaborators Involved? (If yes, please list them and their roles in the project.) *What Is Your Annual Revenue? (Approximate if needed.) *How Much Funding Are You Seeking? (Provide a specific amount or range.)How Many Years Have You Been in Business? *How Many Employees Do You Have? (Include Part-time and Full-time.) *How Much Funding Have You Received to Date? *Do You Have Any Matching Funds or Resources to Contribute? *YesNoAre You Open To Presenting in Front of a Panel/Crowd/or TV Audience? *YesNoAre You Open to Government Grants? *YesNoDependsIf You Chose 'Depends,' Please Explain.Do You Already Have the Following Materials? (Select All That Apply): *Business PlanFinancial ProjectionsMarketing PlanPitch Deck or Other PresentationPast Grant ApplicationsSupporting Research/DataNone of the AboveAre There Any Existing Grant Awards You Would Like to Reference? (If yes, please provide details.)Is There Anything Else You’d Like to Tell Us About Your Business, Project, or Grant Goals?Submit
