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unnamed 25 - Melissa Washington Small Business Award Application

Q2 Application Deadline June 30th

Finalists will be notified in Q3

Melissa Washington Small Business Award (MWSBA)

"*" indicates required fields

A. Basic Application Information

Name*
Address*
Gender
Do you identify as LGBT+?
Please specify your ethnicity
Branch of Service*
Please enter MO/YR format. From? To? Example: 04/95 - 07/98
Please select from drop-down.
Honorable Discharge (if applicable)?*
VA Rating*
Are you a paid member of Women Veterans Alliance? Select your membership level.*
Become a WVA member today! Visit https://melissaw38.sg-host.com/join/
What is the highest degree or level of education you have completed?*
Have you applied for the MWSBA award in the past?*
Past winners are not eligible to apply.

B. Business Information

Do you have a business website?*
What is your business structure?*
Are you experiencing an economic hardship?*
Drop files here or
Accepted file types: pdf, jpg, png, Max. file size: 256 MB.
    Does your business have a storefront?*
    Does your business require licensing or continuing education to keep your license up to date?*

    C. Applicant Experience Information

    D. Business Growth Potential or Vision for Future Growth

    E. Community Involvement

    Document any volunteer time that has occurred within the last two years. Please explain your specific duties including dates and hours. Please specify whether you hold any board, committee, or officer positions.
    Accepted file types: jpg, png, Max. file size: 256 MB.

    Optional Questions

    Are you interested in helping raise funds for WVG in your area?
    Would you like more information about a free entrepreneur mentorship through the SCORE program?

    Sign & Submit

    Acknowledgment*
    I hereby affirm that all the above stated information provided by me to the Melissa Washington Small Business Award committee is true, correct and without forgery. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Melissa Washington Small Business Award. I affirm that I am a woman that is currently serving or has served in the United States Military.
    Acknowledgment*
    I understand that if I am selected as the winner of the Melissa Washington Small Business Award, that I may be asked to provide feedback regarding how the grant was used and how the funds transformed my business.
    Type full name in box.
    MM slash DD slash YYYY
    This field is for validation purposes and should be left unchanged.