Women’s Enterprise Training and Microgrant Program
2019 Application
Name of Applicant:
Address:
Name of Business:
Business Address:
Contact Person:
Telephone: ( ) Website:
Email Address:
Nature of Business:
Sole Proprietorship
Partnership
Corporation (LLC included)
Total project budget: $
Classification gender:
Classification ethnicity:
Are you, your business, or the business’ owner involved in any pending or current litigation?
Yes No
If you own the premises where the business is located, are the property taxes on those premises
current? Yes No Not applicable
Is your business current on its payroll taxes? Yes No Not applicable
Is your business current on its sales taxes? Yes No Not applicable
Are you (or any immediate family member) faculty, staff or a student at TWU? Yes No
Company Background (please attach a separate sheet to this document):
a brief narrative describing the company’s history
a description of the company’s current operations including products, markets, etc.
a description of the company’s current operating facilities both owned and leased
a summary of the company’s current full and part -time employment
a description of the company’s need to undertake the proposed project
Project Information
a project narrative
a budget for the project, including project costs and sources of funds
physical description of the proposed project, including any business or residential relocation
which may result from the undertaking of the project
projected new employment for each of the three years following project completion include job
description
how will your project contribute to the economy of Texas?
I HEREBY ATTEST THAT ALL OF THE REQUESTED INFORMATION THAT I HAVE PROVIDED IS TRUE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE. I AGREE TO ABIDE BY THE TERMS AND CONDITIONS SET
FORTH IN THE “WOMEN’S ENTERPRISE TRAINING AND MICROGRANT PROGRAM GUIDELINES”
DOCUMENT.
______________________
Applicant’s signature Date
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signature
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