Small Business Accessibility Grant Application Part 1
Thank you for applying! This set of questions will help us understand your need and determine your qualification. It should just take a few moments to complete, and you won't need any special paperwork or records to apply. Selected applicants will be invited to appear before our Grant Committee for a 10-15 minute interview. Funds will be awarded to top scoring requests. We ask that recipients let us know how the funds impacted their business within 90 days of funding. The entire process should take less than one hour.

NOTE: The business owner must complete the application, even if requesting funds on behalf of an employee. Answers must be complete. Incomplete or inaccurate answers may disqualify an applicant. 
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Email *
Please provide your full name (First, Middle, Last) *
Are you the owner of a small business registered and located in Texas? *
What is the name of your business? *
What is your business street address? *
Please provide the street name and number for your business address.
What is your business City? *
List your City
What is your business Zip Code? *
List your Zip Code.
What is your business County? *
Indicate your County.
What is your best contact phone number?  *
We'll use this number to contact you for additional information. 
Please share your business website address
You can learn more about EIN by clicking the link above.
To learn more about business structure, click the link above. Note: We are not accepting applications for non-profits at this time. 
Do you have a checking account for your business? *
As of today, is your business less than 5 years old? *
Indicate your gross annual business revenue *
This is the total amount of money you made last year from sales in your business.
Is the business a certified minority-, women-, or veteran-owned business? *
In 1500 characters or less, please tell us about your need and how the funds will be used.  *
Are you seeking reimbursement for costs incurred within the past 90 days? *
Note: future expenses will be considered after all qualifying reimbursement applicants have been served.
If selected, how would you prefer to present to the Grant Committee? (Check all that apply) *
We will contact you to arrange your actual presentation method.
Required
If selected, are you willing to submit an impact statement within 90 days of funding that tells us how the funds helped you or your business? *
Impact statements verify your use and help us understand how to improve the program. Failure to submit an impact statement will eliminate you from all future considerations.
How did you hear about this opportunity? (select all that apply) *
Required
Enter your birthdate *
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How do you identify? *
Tell us about your background. How do you identify? *
Select all that apply.
Required
Are you a veteran or active service member? *
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