STOREFRONT IMPROVEMENT PROGRAM: Design Grant Application 4
BUSI
NESS INFORMATION:
☐ Existing Business in This Location ☐ New Business in This Location
Name of Business:
Business Address:
Business Contact Name: Title:
Phone: Email:
Website: Social Media: Facebook ☐ Twitter ☐ Instagram ☐ Other ☐
Age of Business: How many other locations does this business have?
Tax ID/EIN Number: Beaverton Business License Number:
What are your store hours: M T W Th F Sat Sun
How is your business organized (corporation, sole proprietorship, LLC, etc.):
In which State are incorporation and/or organization documents filed? Oregon ☐ Other:
Is this business certified as a:
☐ Minority Business Enterprise (MBE)
☐ Women Business Enterprise (WBE)
☐ Emerging Small Business (ESB)
☐ Service-Disabled Veteran Business (SDV)
☐ Disadvantaged Business Enterprise (DBE)
☐ None
(Note: Oregon certified businesses will receive
additional evaluation points. For more information
about certification visit:
http://www.oregon4biz.com/How-We-Can-
Help/OMWESB/)
Is t
his business a part of a national chain (see definition on page 2)? Yes ☐ No ☐
Is this business a for-profit corporation with locations outside of Beaverton? Yes ☐ No ☐
Is this business church-owned, fraternal, or housed in a government building? Yes ☐ No ☐
Is this business in a building that is primarily for residential use? Yes ☐ No ☐
Does this business exclude minors? Yes ☐ No ☐
Number of employees at this time: Number expected in two years:
Leasable square feet at this time: Square feet expected in two years:
In one sentence, what does your business do?
How do customers reach you: Transit ☐ Bike ☐ Car ☐ Walk ☐
Who are your target customers?
How do you differentiate yourself from your competition?