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Revised 11/24 <br /> <br />exceeding the maximum may be considered by the Subcommittee. All grants are subject to availability of <br />funds. <br />High Potential Founders - Although all applicants will be considered, business owners who exhibit the <br />following characteristics will be given priority: <br /> <br />a. Have a thorough understanding of their market <br />b. Have assembled a talented paid team of employees <br />c. Have a passion for building their venture in Orange County <br /> <br />High Potential Ventures - Priority will be given to “growth” ventures capable of expanding rapidly, <br />renting office space in Orange County, and hiring Orange County residents. <br /> <br />GRANT APPLICATION GUIDELINES <br />Startup Grant Application Requirements <br />$1,500.00 or less <br /> <br />Business 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. Business Counseling Organization Connection <br />7. Tax ID/ Employment Identification Number <br />8. Business phone number <br />9. E-mail address <br />10. *Website/Social Media Account <br />11. Business Owner(s) Name <br />12. Business Owner(s) Address <br />13. Business Owner(s) % of Ownership <br />14. Describe prior business experience <br />15. Brief Description of Business (Target Market and Customer Base) <br />16. Number of Employees (Full and Part Time) <br />17. *Do you pay a living wage/what % of employees <br />18. *Describe your potential to add jobs <br />19. Commitment to keep business in Orange County <br /> <br />Business Financial Information: <br />20. Sales for operating history <br />21. Business Checking Account Balance <br />22. Source of Funding (Sales/Revenue, Grants, Loans, etc.) <br />23. *Balance In Other Accounts <br />24. *Existing Business Debts <br />25. *Business Financial Statements for operating history (Balance <br />Statement, Profit & Loss, etc.) <br /> <br />Description of Business Operations: <br />26. *Detailed Written Business Plan (5-10 pages) or PowerPoint Pitch Deck <br /> <br />Grant Use Details: <br />27. Amount of Grant Requested <br />Docusign Envelope ID: 5C2B0EA2-4217-474F-AAF6-2E07039AC254