Independent Contractor Grant Application

Business Name: *

Website: *

First Name: *

Last Name: *

Email: *

Business Mission Statement:

Grant Award Amount Requested: *

$

Business Phone Number: *

Address: *

City: *

State: *

Postal code: *

Grant Application Requirements:

A completed Independent Contractor Marketing Grant Application must be submitted online and approved, in addition to uploading the required corporate documents for your organization listed below.

Submit a copy of ONE of the following documents listed below with your Independent Contractor Grant Application:

* Income Tax Return

* Recent Paycheck Stub

Please Upload One of the following Independent Verification Forms: *

Upload Your Income Tax Return or Recent Paycheck Stub from the Company showing proof of Independent Contractor Agreement:

Describe Your Marketing Plan as an Independent Contractor Below: