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2021 INCspire Bizmaker Grant Program Application
Applicant Information
First Name
*
Last Name
*
Contact Email Address
*
Contact Phone Number
*
Business Information
Business Name:
*
Business DBA (if applicable):
Business Legal Address
Address Line 1
Address Line 2
City
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Select option...
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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
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Rhode Island
South Carolina
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Tennessee
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Utah
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DC
Zip/Postal Code
Program Questionnaire
*
Yes
No
If selected, will you agree to present your business concept at the BizMaker Grant Awards Program?
Yes
No
If awarded a grant prize, do you agree to fulfill the requirements of the INCspire Mentoring program?
Yes
No
Is the business entity a for-profit organization?
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 U.S. 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? 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. Word count limit is 500.
*
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)
*
Load 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.