CEDbi PART 2 Grant application

Grant Application PART 2

Name(Required)

First Last

Business Industry(Required)

(Example: Healthcare - Technology)

Age of Business(Required)

Business Stage(Required)

Pre-Revenue - No Products Sold

Pre-Product - Product design and production is not complete

Post-Revenue - Product is released and sales have occurred

Post-Product - Product is fully designed and released

Team Size(Required)

Include the Founder and the number of Full-time employees only

Leadership Team(Required)

Please list the names and the titles for your leadership team

Business Description(Required)

Please describe your business in a few sentences

Business Website

If a formal website has not been established, a link to a social media page for the business may be used.

Reference #1

Please provide their name, job title, and briefly describe your relationship with them

Reference #1 Phone Number

Reference #1 Email Address

Reference #2

Please provide their name, job title, and briefly describe your relationship with them

Reference #2 Phone number

Reference #2 Email Address

Reference #3

Please provide their name, job title, and briefly describe your relationship with them

Reference #3 Phone number

Reference #3 Email Address