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Application Form
Step 1 of 3:
Tell us about You and Your Funding Needs
First Name:
Last Name:
Country:
State:
City:
Address:
Gender:
Select...
Male
Female
What is your age?
Select...
18-25
26-34
35-49
50-65
66-80
80 +
Country of Origin:
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USA
Canada
Bahamas
Puerto Rico
Brazil
Ethnicity:
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Asian
Black or African
European
Latino
Multi-racial
Native American
Bahamian
Other
Puerto Rican
White
Employment Status:
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Employed Full-Time
Employed Part-Time
Self Employed
Unemployed
Retired
Disabled
Phone Number:
Choose which type of funding you are interested in:
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Business
Community Assistance
Education
Home Repairs
Inventions
Misc
Personal (Bills, Rent, Utilities, etc.)
Real Estate
Non Profit
How much money are you going to need?
Select...
$500-$10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 or More
Describe what you will use the money for:
What unique things would separate you from other applicants applying for this money?
What Email address would you like to use for your Username for your Online Grant Application Account?
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Email
will be
your username
for this website. Please double check it to be sure it is accurate!
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, And Am Providing My Electronic Signature Authorizing easywayfin.org and it Affiliates To Contact Me By Email, Text, Or Phone Regarding My Funding Applications Service Account With Any New Funding Services Or Sources That May Become Available.
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