Small Business/Nonprofit Grant Application

Eligibility

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Organization Information

Business or Non- Profit Name

Contact fiirst name

Contact last name

Position

Phone

Address

Business /Non-Profit Details

Small Business or Non-Prot

A. Small Business

B. Non- Profit

Year Established

Mission/Primary Services

Number of Employees or volunteers

Document Uploads

Proof of Registration

Budget/Financial Snapshot

Letter of Support

Essay

In 500–750 words, explain what the IMPACT acronym means to your organization and how you embody its values through your work.

Video Submission

Please upload or link to a 2–3 minute video introducing your organization, how you will use the funds, and how this will move Iredell County forward in the areas of Progress, Advancement, Culture, and Transformation. Submit of file or link

Link

Certification

I certify that all information provided is true and that funds will be used for the purposes stated.

Signature (type full name)

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