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#WAHM Life Grant Application Form
We want to help you grow your business as a work at home mom! Apply now for the chance to receive a $500 award for your business. Please submit applications by April 15. The award winner will be announced on April 30 at
wahmlife.com
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* Indicates required question
Name of Your Business
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Your answer
Contact Name (First and Last)
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Your answer
Contact's Role Within the Business
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Your answer
Email Address
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Your answer
Business Mailing Address
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Your answer
Business Phone Number
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Your answer
What stage is your business in?
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I haven't started.
I'm just starting out.
I'm still small but seeing good progress.
I'm making a part-time income and want to grow.
My business is my full-time job, and I am able to support my family with it.
Tell us about your business and what inspired you to start your business.
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Your answer
How would you use the $500 grant if it were awarded to you? Please be specific.
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Your answer
If awarded this grant, how would this positively affect your business?
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Your answer
How would we hold you accountable if awarded this grant?
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Your answer
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