$10k Challenge You can also download a printable copy of this application and submit it by mail or in-person. Download Now. Please review your application before submitting. All submissions are final. GIVE US SOME BASIC INFORMATIONBusiness Name:*SalutationDr.Mr.Mrs.Ms.First Name of Applying Business Owner:*Businesses may designate a contact person, who is not a business owner, to apply on their behalf. See the next section, “Designate a Contact Person”Last Name of Applying Business Owner:*Name(s) of Other Business Owner(s), If Any:Business Street Address:*Business Street Address Line 2:Please use line 2 for suite/building numberBusiness City:*Needs to be in Detroit, Hamtramck, or Highland Park - if it is not, you are not eligible to applyBusiness State:*Business Zipcode:*Business Website, If Any: example - http://neideasdetroit.orgBusiness Phone Number:*Business Email: TIP: Though an email address is not required by NEIdeas, it is how we prefer to communicate with applicants. You can sign up for a free email address at one of the following sites: gmail.com, yahoo.com, or hotmail.com Date Business Founded (MM/YYYY)*Businesses should consider the number of years operating when listing "Date Business Founded." This may be different from the number of years registered or incorporated.Business Entity*- Choose One -Sole ProprietershipGeneral PartnershipCorporationLimited Liability CompanyLimited Liability PartnershipPlease note that Low-Profit Limited Liability Companies (L3C) and nonprofits are not eligible to applyBusiness Industry:*ConstructionCreativeEducationEntertainmentFarmingFoodHospitalityInformationManufacturingMedicalRetailServiceTechnologyTransportationOtherChoose up to 2 industriesPlease enter your industry hereNumber of Employees:*Please enter a value greater than or equal to 0.Is Business minority-owned?*- Choose One -YesNoPrefer not to answerIs Business woman-owned?*- Choose One -YesNoPrefer not to answerIs English your preferred language?*- Choose One -YesNoPrefer not to answerIf No, what is your preferred language? Save and Continue Later DESIGNATE A CONTACT PERSONThis person may be different than the 'Applying Business Owner' and/or Business Information listed above. In cases where an individual has assisted on an application or applied on behalf of a business owner, NEIdeas recommends that they are listed as the designated contact person.The Designated Contact Person is:The Business OwnerDifferent than the Business OwnerFirst Name of Designated Contact:*Last Name of Designated Contact:*Relationship to Business Owner(s):*Address of Designated Contact*Address Line 2 of Designated ContactCity of Designated Contact*State of Designated Contact*Zipcode of Designated Contact*Designated Contact Phone Number:*Designated Contact Email Address: Save and Continue Later PITCH YOUR IDEA FOR GROWTHWe do not know your business like you do so, whatever the idea, it’s up to you to tell us. Be concise, specific, and honest. The best applications will have ideas for growth that are Impactful, Courageous, Interesting, Achievable, and Understandable. The 2017 Program Guidelines describe these qualities in depth.Describe your business (50 Words):*Describe your idea for growth (150 words):*Describe the impact of the idea on your business (100 words):*Describe the impact of the idea on your city (100 words):*Can your idea for growth lead to jobs for residents of Detroit, Hamtramck, and/or Highland Park:*YesNo Save and Continue Later TELL US MOREHow did you hear about NEIdeas?NewsSocial MediaPrint AdOnline AdRadio AdAnother BusinessSmall Business ProgramFamily or FriendBillboardBus AdvertisementOtherSelect all that applyOtherDid an NEIdeas Ambassador refer you to this program?YesNoIf Yes, choose the name of the organization- Choose One -ACCESSBooker T Washington Business AssociationBrightmoor AllianceCentral Detroit Christian CDCChaldean Chamber of CommerceDetroit Community SolutionsDetroit Public Library - Main BranchEastside Community NetworkFocus:HOPEGrandmont Rosedale Development CorporationGratiot Avenue Business AssociationGreater Grace TempleHamtramck Downtown Development AuthorityHighland Park Business AssociationJefferson East, Inc.Joy-Southfield CDCLive 6Michigan Avenue Business AssociationMichigan Black Chamber of CommerceMidtown Detroit, Inc.Osborn Neighborhood AllianceSecond Ebenezer Baptist ChurchSER Metro-DetroitSouthwest Detroit Business AssociationStraight Gate ChurchTriumph ChurchU-SNAP-BACVanguard CDCWhat are your additional business needs?Capital | Credit: Access to a line of creditCapital | Credit: Access to loan capitalPurchasing: Purchase EquipmentPurchasing: Purchase VehiclePurchasing: Purchase InventoryAdd/Expand Services OfferedPhysical Improvements: Exterior UpgradePhysical Improvements: Interior UpgradePhysical Improvements: Space ExpansionPhysical Improvements: New SpaceSales & Marketing: Contact Management SystemsSales & Marketing: Social Media KitsSales & Marketing: Print CollateralProfessional Services: GeneralProfessional Services: Business PlanningProfessional Services: Financial ManagementProfessional Services: Real Estate AssistanceStaff: Hiring StaffStaff: Training StaffStaff: Retaining StaffTechnology: GeneralTechnology: Website DevelopmentTechnology: Research and Product DevelopmentSelect multiple needs if necessaryMAKE YOUR APPLICATION OFFICIAL* I have received, reviewed, and agree to the Terms and Conditions of this Application.Further, I understand that the Information contained herein is subject to the actual grant-award documents and the written terms and conditions of the NEIdeas program and the Community Foundation for Southeast Michigan (CFSEM) which govern the program, as the same may be amended from time to time. CFSEM also reserves the right to make the final determination of any person’s or organization’s eligibility and/or qualifications for program benefits, and to make allocation of program benefits as it may, in sole discretion deem appropriate.Further, I represent that I am duly authorized by my organization to submit this Application.I understand that the purpose of this program is to encourage and serve underserved and underrepresented persons or communities. Signature of Applying Business Owner:*This signature must match the name of the "Applying Business Owner" provided in the first section of this application.How was this application received?Online SubmissionPaper SubmissionApplication entered by:Original date of application: NameThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.