Business Name*
Business Address*
Company EIN/SSN*
Business Website
First name*
Last name*
Phone number*
x
Email address*
StART-Up Creative Business Grant
Majority Business Owner's Ethnicity
Majority Business Owner's Gender
Are you currently a resident of Erie County, Pennsylvania?*
*
Have you lived in Erie County for at least one year?*
*
Name of Owners with 20% equity or more
Owner 1
First name
Last name
Owner Address
Owner 2
First name
Last name
Owner Address
Owner 3
First name
Last name
Owner Address
Business Type*
*
If Other, please specify
Date business established*
Number of employees
Full-time
Part-time
Is this a new venture within an existing business over 2 years of age or a newly established business less than 2 years of age?*
Describe the business venture in detail for which you are seeking funds. What about your business venture is creative? How would this grant impact your business venture?*
Have you researched the intended market?:*
*
What market do you believe your venture would fill (who wants what you’re trying to sell)?:
Will your venture be:*
What personal investment will you be making in this venture by way of personal funds, borrowed funds, small business loans or other grants?:
Amount
Please explain
Have you received funding from the Erie Community Foundation for the intended project?*
*
Have you received a StART-Up grant within the past 12 months?*
*
Do you have a written business plan?:*
*
If so, please upload a file of the business plan*
Have you created any multi-year financial projections?:*
*
If so, please upload a file of the projections*
Do you have a project budget?*
*
If so, please upload a file of the budget.*
If not, please download the template below and upload the file when completed.*
Click
Here to download the Budget Template
Please provide driver’s license for all business owners.*
Have you read the guidelines carefully and believe your application & budget comply?
*
I also understand that all applications will become property of ECRDA and all applications are subject to the Pennsylvania Open Records Act, provided that the County and ECRDA will use its best efforts to maintain the confidentiality of any confidential financial information submitted, as permitted by law.
*
The undersigned, hereby verifies that the statements made in the application are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities.
Signature
By signing this application, you are authorizing ECRDA to verify any information contained in this application. I understand that, by not providing the required documentation my application may not be processed. I understand that making a false statement on this form is a violation of law and could result in criminal prosecution, significant civil penalties, and a denial of the grant.
Please verify that you are a real person*