Jim Moran Student Business Micro Grant Application



Primary Contact Information

Email*
Confirm Email*
Phone*
FSU Card Number*

Organization Information

Company Name*
Company Ownership (%)*
Business Start Date
Federal Tax ID Number (EIN) - not SSN
Business Website URL
Business Facebook URL
Business Twitter URL
Business Instagram URL
LinkedIn URL (Business or Personal)

List three personal or professional references.  Include relationship, address, phone number and email address.

Three References*

List all FSU faculty that are involved with the business, and include their roles.

FSU faculty*

Business Model

Please complete the following business model sections. The format of these fields is based on The Business Model Canvas. If you have any questions or need assistance crafting your business model, please contact Wendy Plant in the InNOLEvation® Center (RBB 117) at wplant@jimmoranschool.fsu.edu.

Value Proposition*
Customer Segments*
Customer Channels*
Customer Relationships*
Key Activities*
Key Resources*
Key Partners*
Budget/Specific details about how you will use the grant funding to validate a new business or grow an existing business:*

Video Submission

Provide the URL to your 2-3 minute YouTube video (or Vimeo, or other) where we can view the video content you'd like to share with us. For example: https://youtu.be/n2Vbk4ttVr8 

Make sure your account privacy settings are not set to block us from viewing your shared video.

Alternatively, you can submit your entire video via FSU Dropbox to wplant@jimmoranschool.fsu.edu.

Video URL*

Demographic Information Request

These five questions are voluntary. Information provided will not be used in the grant decision-making process. However, it will be very helpful to have this data for tracking and reporting purposes.

Your Major

Read these JM Student Business Micro-Grant requirements before submitting application.

If approved for a grant, each student/student business agrees to:

1.  Obtain and provide a copy of:

  • W-9 listing the EIN for the business
  • Sunbiz.org filing

2.  Participate in all educational sessions and events offered in the InNOLEvation® Center unless excused by Center management.

3.  Participate in focused development sessions with mentor to further develop the Business Model Canvas.

4.  Show periodic evidence of progress in business venture toward specific goals and milestones.

Please email any files or attachments for your application to Wendy Plant

Additional Comments

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