BOS Grant Referral List — Intake Form

First name*

Last name*

Email*

Company name*

Website*

Business Description*

Industry/Niche (Check all that apply)*

Nonprofit

Wellness

Beauty

Tech

Travel

Events

Food & Beverage

Coaching / Education

Eccomerce

Other

Are you for-profit or nonprofit?*

For Profit

Nonprofit

Fiscal Sponsor (not 501c3 yet)

Hybrid or Unsure

Where is your business located?*

How long have you been in business?*

Less than 1 year

1 -3 years

3-5 years

5+ years

This is a checkbox.

Have you applied for grants before?*

Anything else you’d like us to consider when sourcing your grants?*

Fixed price

$100

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