Road to Success Small Business Grant

The Road to Success Small Business Grant

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Applicant Name *

Applicant Phone Number *

Applicant Email *

Business Name *

Grant Written Application

Please compete this form in its entirety for consideration. If you have any questions please email, themoderngreenbook@gmail.com

Business Info

Is your businesses registered as a LLC, Sole Proprietorship, Partnership, etc? *

Where is your business based *

Any Business Partners? Please List *

Write N/A if there are no partners

What year was your business established? *

Size of your business *

Have you ever received funding before? *

This does not effect your chances of receiving the grant.

Tell us a little about your business *

What problem does your business solve or need does it fill? *

Tell us about a challenge you have faced with your business *

What is the driving force behind your business? *

250 word max

What is your business doing for your community? *

250 word max

What is the legacy you want to leave? *

If given this $1000+ how would you use it? *

Where to find you?

Website

Facebook

Instagram

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Link to pitch *

Youtube link works best. Please make unlisted or public.

Do we have permission to share your pitch publically to our site and social media? *

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Do you have a business Plan *

If you have a business plan, please upload a PDF below

Click or drag a file to this area to upload.

How did you hear about this grant? *

Guidelines & Terms *

Yes, I understand and accept the terms.

Businesses applying for the grant must not have generated over $500K in revenue since starting.
Businesses MUST be listed with The Modern Green Book (visit the community page).
Must be based in the United States.
Applicant must be 18 years or older

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Type full name to authorize *

Date *