First Name *

Last Name *

Job Title Or Role *

Business Name *

Address

Street Address *

City *

State *

Country *

Postal Code *

Email Address *

Phone Number *

Website or Social Media URL

Is your business at least 51% woman-owned? Answering "no" disqualifies you from moving forward with this application.

Yes

No

Are you the primary decision-maker for the business? *

Yes

No

What industry best describes your business? *

How many years has your business been in operation? *

1-2 years

3-5 years

5+ years

How many employees does your business currently have? *

Just me

1-5

6-10

More than 10

Briefly describe your business and products or services you offer (250 words or less) *

What inspired you to start your business? *

What challenges have you faced as a woman business owner, and how have you worked to overcome them? *

What are your business goals for the next one to three years? *

What specific outcomes do you hope to achieve with this funding? *

How does your business positively impact your customers, community, or industry? And how do you hope your business will continue to grow its impact in the future? *

Please upload proof of business registration or formation (i.e. EIN letter, Articles of Organization, DBA filing, etc.) *

Click to upload

Please upload your Business Plan (5 pages maximum) *

Click to upload

Please upload your startup budget or financial overview *

Click to upload

Optional: Marketing materials, product photos, or portfolio samples

Click to upload

By signing this grant application, you certify that all information provided in this application is true and accurate to the best of your knowledge and that signing this application does not guarantee funding. *

Clear

Monday - Friday 7:00 AM - 3:30 PM