First Name *
 Last Name *
 Date of Birth *
 Home Address (Unit, Street, Town/City, Postal Code) *
 Email Address *
 Primary Contact Phone Number *

 Business Name *
 Business Activity *
 Business Address (Unit, Street, Town/City, Postal Code) *
 Business Email *
 Business Phone *
 Business Website *

 Please provide an overview of your proposed business. *
0 of 300 words
 What is your business structure? *
Sole Proprietorship Partnership Corporation Social Enterprise Undecided
 Please explain why you are applying for this grant? Why do you want to open a business in one of the identified neighbourhoods. *
 What is the market opportunity for your business? *
0 of 300 words
 Have you completed a business plan for your business? YesNo
 Please upload your business plan.
 What is the total financial cost (including any funds secured from this grant) to start your business in the proposed location? *
 How much of the above amount have you already secured? Please count any cash on hand, grants received, loans etc. *
 Have you developed and signed a community benefit agreement YesNo
 Please upload your signed community benefit agreement.
 Did your business already open in 2017 in an eligable location? YesNo
 Will your business open to the public in 2017 in an eligable location? YesNo
 Can your provide proof of location or proof of intent on a location? Ex. signed letter of intent on a location, conditional lease agreement or signed lease agreement. YesNo
 Please upload your proof of location.
By submitted this application you consent with United Way and/or the Small Business Centre contacting you around this project and other related activites, resources or events in the community.
Items marked with an asterisk(*) are required
Verification Code
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