Building a Brighter Future Small Business Grant Program

2. I. Business Information
4. Business Name(s): Legal and DBA*
6. Owner(s) Name*
8. Business Address*
10. Owner's Home Address*
12. Business Phone*
14. Business Type*
16. Mobile Phone*
18. Email Address*
20. How many employees do you have?*
21. How long have you been in business?*
23. How long has your business been in Mt. Airy?*
25. II. Project Information
27. Will the project result in additional jobs?*
29. Additional Uploads
31. 1. Hours of operation, products, or services*
32. 2. Copy of business license *
34. For Capital Improvement Projects ONLY

    These are additional documents required to be uploaded:

    1. Two (2) proposals for the work by licensed contractors, both must be uniform in scope or “apples to apples.” Estimates for work may also be accepted. If awarded, two comparable proposals will be required to be collected and shown prior to the project starting. Contractor shall provide certificate of insurance.

    2. Proof of ownership or a letter from the property owner(s) with stated project support 

    
    

36. 1. Two (2) proposals for the work by licensed contractors, both must be uniform in scope or “apples to apples.” Estimates for work may also be accepted. If awarded, two comparable proposals will be required to be collected and shown prior to the project starting.
38. 2. Proof of ownership or a letter from the property owner(s) with stated project support
40. For Operating Projects ONLY

    These are additional documents required to be uploaded:

    1. Detailed summary of proposed expansion of services/hours including: 

    a. Objective of the expansion/Business Plan 

    b. If it includes hiring additional staff/employees

    c. Marketing Plan to promote and support the expansion 

    d. Total projected monthly cost for expansion 

    2. If requesting first month’s rent reimbursement, copy of lease agreement.

42. 1. Detailed summary of proposed expansion of services/hours including: a. Objective of the expansion/Business Plan b. If it includes hiring additional staff/employees c. Marketing Plan to promote and support the expansion d. Total projected monthly cost for expansion
44. 2. If requesting first month’s rent reimbursement, copy of lease agreement.
46. Amount of Funding Requested*

    List the total project amount per the proposal you wish to go with. The Town will be looking to fund 50% of this listed amount.

48. Name of Licensed Contractor to Perform Work*
50. Reason for Choosing Proposal*
52. Please explain the project in detail. Explain the urgency and reason for the project.*
54. What are the goals of the project? Please share if any of the project goals can tie in with the goals and objectives of the Mount Airy Master Plan or Downtown Vision Plan.*
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit Submit and Print

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