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VaultPoint Intake Form

This short form filters for grant-ready businesses and collects the information needed to begin your Done-For-You Grant Submission System immediately.

Most businesses we work with qualify for at least one funding opportunity.

⏱ Takes less than 5 minutes. Please complete in full to continue.

Full Name

*

Business Name

*

Best Email Address

*

What was your business’s revenue over the past 12 months?

*

How many people currently work at your company (including yourself)?

*

Business Entity Type

*

What industry is your business in?

*

Your business description

*

Certifications (Check all that apply)

*

Certifications (Check all that apply)

MBE

WBE

HUBZone

8(a)

DBE

None

Business Location (City/State/ZIP)

*

When was your business officially founded?

*

Funding Profile

Help us understand how this funding would impact your business so we can tailor your grant applications accordingly.

1. What would you use the grant funding for? (Select all that apply)

*

1. What would you use the grant funding for? (Select all that apply)

Hiring staff

Marketing and outreach

Equipment or supplies

Inventory

Real estate or workspace

Technology and software

Community or social impact

Other (please specify)

2. Tell us the impact this funding would have on your business.

*

3. Is your business any of the following?

*

3. Is your business any of the following?

Minority-owned

Woman-owned

Veteran-owned

None of the above

4. Have you applied for any business grants before?

*

4. Have you applied for any business grants before?

Yes

No

5. Is there anything else that you’d like us to know?

Please confirm the following:

*

Please confirm the following:

I understand VaultPoint does not guarantee grant approval or funding

I acknowledge this service includes research, writing, and submission support only

I authorize VaultPoint to prepare and submit grant applications on my behalf using the information I’ve provided.