WDVA ENTREPRENEURSHIP GRANT PROGRAM (FY-22)

APPLICATION CHECKLIST

______________________________________________________________________

The application checklist is used to ensure all required information is included in your submission. All items on the checklist must be gathered, presented in packet form, and submitted to WDVA. This checklist is a required part of the applications packet and shall be completed accurately, completely, and signed by the applicant.

Name of Organization: Click or tap here to enter text. Amount Requested: Click or tap here to enter text.

Required for a Complete Application

Grant Request Cover Letter.

IRS Determination Letter (name on letter must match application name).

Description of entrepreneurship training, technical business, and/or entrepreneurship assistance.

Financials (income statement, balance sheet, statement of cash flows).

Detailed Budget Proposal.

Annual Report or literature summarizing the organization’s programs.

WDFI Certification of Status.

Disclosure of other grants applied for and or received.

Previous years’ demonstrations of past performance outlined in application.

Business Plan using Evaluation Criteria (outlined in the application and instruction sheet).

Completed & Signed Application.

For descriptions or further instructions on the above, please refer to the instruction sheet with the application for the grant. Once we receive this checklist and completed application packet, a representative from WDVA will review your packet to ensure all required information has been received.

_________________________________________

Applicant Print Name & Title

X________________________________________	________________

Applicant Signature	Date

Reviewed by: __________________________________________________ ____________________

WDVA Representative Name & Title Date Reviewed