Young Entrepreneur Grant

Name *

First

Last

Age *

Street Address *

Street Address Line 2

City *

State *

Postal / ZIP Code *

Phone Number *

Email *

What is the name of your business? *

Do you have a website for your business? If so, please provide below:

Do you have social media for your business? If so, please provide your handles below:

What service(s) do you provide? *

How long have you provided this service? *

What are your financial needs (ex: items vs expenses)? *

STATEMENT OF ACCURACY FOR APPLICANTS: I hereby affirm that all of the above stated information provided by me is true and correct to the best of my knowledge. I hereby understand that I also may be required to submit supporting documentation to complete this application. If chosen as a grant recipient, I consent to my picture being taken and used to promote the DeMarion Sankofa Foundation’s financial assistance program (recipient may waive photo due to unusual or compelling circumstances). Furthermore, I hereby understand that incomplete applications and/or applications that do not meet the eligibility criteria will not be considered for this grant. *

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