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2023 INCspire Bizmaker Grant Program Application
Deadline is Friday, March 31, 2023
Applicant Information
Applicant Name
*
Applicant Title
*
Contact Email Address
*
Contact Phone Number
*
Business Information
Business Name:
*
Business DBA (if applicable):
Business Legal Address
Address Line 1
Address Line 2
City
State
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
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
DC
Zip/Postal Code
Business Mailing Address (if different)
Address Line 1
Address Line 2
City
State
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
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
DC
Zip/Postal Code
Program Questionnaire
*
Yes
No
If selected, will you commit to at least four (4) quarterly meetings over a one-year period with an INCspire mentor? These meetings are to develop strategies to grow your business and best utilize grant proceeds for their stated purposes.
Yes
No
Is the entity a currently registered business in Fairfax County?
Yes
No
Does the business entity have at least one principal who is a legal resident of the United States and at least 18 years old at the time of application?
Yes
No
Upload a document that describes how your product or service is unique and innovative and how it can create value for existing and potential clients? Video submissions preferred, however, written responses accepted. Word count limit is 1000.
*
Upload a document that addresses how the grant prize dollars will be utilized to meet your business’ strategic growth goals? Provide a realistic and well-articulated plan for use of the allocated funds. Video submissions preferred, however, written responses accepted. Word count limit is 1000.
*
Upload Business Plan Executive Summary
*
Upload Most Recent Financial Statement
*
Most recent annual financial statements – income statement, balance sheet, statement of cash flow. For start-up organizations, please present a three year financial projection.
Explanation of Extraordinary Events
If applicable, an explanation of extraordinary events impacting financial performance that you wish to have included in the evaluation process.
Video Pitch (Submission may also be written)
*
Link to/Upload a video pitch that highlights the economic impact of your business concept to our local economy by receiving an award. This can include goals for job creation, contributions to the local business tax base, increased physical presence of business operations, etc. Submission may also be written. Word count limit is 1000.