Orange County NC Website
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Revised 1/23 <br /> <br /> <br /> <br /> <br />Small Grant Application Requirements <br />$1,500.01 - $5,000.00 <br />Large Grant Application Requirements <br />($5,000.01 - $10,000.00) <br /> <br />Applicant Information: <br />1. Date Business Opened <br />2. Business Name/DBA <br />3. Legal Business Structure <br />4. Street Address/Mailing Address <br />5. What type of business space <br />6. Tax ID/ Employment Identification Number <br />7. Business phone number <br />8. E-mail address <br />9. Website/Social Media Account <br />10. Business Owner(s) Name <br />11. Business Owner(s) Address <br />12. Business Owner(s) % of Ownership <br />13. Describe prior business experience <br />14. Brief Description of Business (Target Market and <br />Customer Base) <br />15. Number of Employees (Full and Part Time) <br />16. Do you pay a living wage/what % of employees <br />17. Describe your potential to add jobs <br />18. Commitment to keep business in Orange <br />County <br /> <br />Applicant Financial Information: <br />19. Sales for operating history <br />20. Business Checking Account Balance <br />21. Source of Funding <br />22. Balance In Other Accounts <br />23. Existing Business Debts <br />24. Business Financial Statements for operating <br />history (Balance Statement, Profit & Loss, etc.) <br /> <br />Description of Business Operations: <br />25. *Detailed Written Business Plan (5-10 pages) or <br />PowerPoint Pitch Deck <br /> <br />Grant Use Details: <br />26. Amount of Grant Requested <br />27. Brief description of grant project, including <br />details of how funds will be used, goals and <br />objectives and anticipated benefits of the project <br />to your business. <br /> <br />Optional Additional Information: <br />28. Video (5 minutes or less) or Photos showcasing <br />your business <br /> <br />* Notes an optional response <br /> <br />Applicant Information: <br />1. Date Business Opened <br />2. Business Name/DBA <br />3. Legal Business Structure <br />4. Street Address/Mailing Address <br />5. What type of business space <br />6. Tax ID/ Employment Identification Number <br />7. Business phone number <br />8. E-mail address <br />9. Website/Social Media Account <br />10. Business Owner(s) Name <br />11. Business Owner(s) Address <br />12. Business Owner(s) % of Ownership <br />13. Describe prior business experience <br />14. Brief Description of Business (Target Market and <br />Customer Base) <br />15. Number of Employees (Full and Part Time) <br />16. Do you pay a living wage/what % of employees <br />17. Describe your potential to add jobs <br />18. Commitment to keep business in Orange <br />County <br />● <br />Applicant Financial Information: <br />19. Annual Sales for operating history <br />20. Current Business Checking Account Balance <br />21. Source of Funding <br />22. Balance(s) In Other Accounts <br />23. Existing Business Debts <br />24. Business Financial Statements for operating <br />history (Balance Statement, Profit & Loss, etc.) <br /> <br />Description of Business Operations: <br />25. Detailed Written Business Plan (5-10 pages) or <br />PowerPoint Pitch Deck <br /> <br />Grant Use Details: <br />26. Amount of Grant Requested <br />27. Brief description of grant project, including <br />details of how funds will be used, goals and <br />objectives and anticipated benefits of the project <br />to your business. <br /> <br />Optional Additional Information: <br />28. Video (5 minutes or less) or Photos showcasing <br />your business <br /> <br />DocuSign Envelope ID: A0E4D0D4-56F9-4B10-A362-A40E63615FAA