Complete this form to get started with your Grant Vault package. This will help us understand your needs and provide the best support.

Contact Information

Full Name *

Email *

Phone *

Business Name / Organization

Business Website

Business/Nonprofit Details

Are you applying as:

For-Profit Business

Nonprofit Organization

Individual

What industry or sector is your business/nonprofit in? (e.g., education, healthcare, technology, etc.)

Brief description of your business/nonprofit and what you do: (Short paragraph)

Years in operation:

Less than 1 year

1–3 years

3–5 years

5+ years

Funding Goals

What type of funding are you seeking?

How much funding are you hoping to secure?

Eligibility & Readiness

Do you currently have a business plan or proposal?

YES

NO

Do you have a registered business or nonprofit entity?

Yes, incorporated

No, operating as sole proprietor or informal

Tax ID or EIN (if applicable)

Grant Vault Package Selection

Which package are you interested in?

Additional Notes

Please share any other details that may help us support your funding goals:

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I understand that completion of this form does not guarantee funding but helps us assess eligibility and provide resources.