CAPE of Ebony Business Grant Application
Northern Connecticut/Western Massachusetts Resident
Proof of Valid/Current Tax ID, Must be in business for more than one year must be emailed to firstname.lastname@example.org
Please write a brief response to the following questions:
Why should you be considered for the C.A.P.E. Leadership award?
What is your need and/or purpose for the funds?
By filling out the information below, I give permission to The Association of Black Business and Professionals to contact the persons listed below for the purposes of obtaining reference information. These persons are aware that you will contact them and have my permission to discuss information regarding The C.A.P.E initiative. Please list three recommenders below by giving their Name, Relationship, Phone number, and current email address.
I hereby give The Association of Black Business and Professionals, their assigns, licenses and legal representatives the irrevocable right to use my name, picture, photograph, portrait, visual likeness, or voice in all forms and media in all manners, including photo, film, audio and video representations, for non-profit, public purposes, and I hereby waive any right to inspect or approve the finished product that may be created in connection with the C.A.P.E Leadership Brunch. I have read this release, and am fully familiar with its contents.