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Grants for Young Entrepreneurs Application

Please complete all sections to the best of your ability and upload all requested files with your application.
For program information and policies, please visit our Grants for Young Entrepreneurs page.

Completed forms and documents you will need to upload with your application:
(PDFs are preferred. .pdf, .jpg, .doc, and .docx will be accepted)

W-9 (download form HERE)
Scan of 1 form of identification: US State Driver’s License, US State ID, or Military ID
Complete and comprehensive business plan or proposal for use of grant money

Argent Technologies reserves the right to request additional documentation as warranted.
This may include, but is not limited to, proof of age, proof of citizenship or visa status, proof of business assets, etc.

Grants for Young Entreprenuers Application

First Name*

Last Name*

Street Address*

Apt/Unit/Suite

City*

State*

Zip Code*

Mobile Phone

Alternate Phone

Primary Email*

Alternate Email

Date of Birth*

Age*

Citizenship Status* US CitizenUS E-2 Visa

Military Service

YesNo

Branch of Service

Do you have a service-connected disability? YesNo

Active DutyNational Guard/ReservesRetiree/Veteran

Separation Type:

Education & Employment Information

Student/Employment Status*
(check all that apply) Full-time StudentPart-time StudentEmployed Full-time (40 hr/week+)Employed Part-timeUnemployed

Highest level of education*

Business Information

Business Name*

Business Address

Apt/Unit/Suite

City

State

Zip Code

Business Phone Give a short description of your business* (A more detailed description should be included in your plan/proposal):

Is this business currently in operation?YesNo

Proposed Start Date

Business Structure
Copies of partnership agreements or articles of incorporation may be requested by Argent Technologies, LLC. Self EmploymentSole ProprietorshipPartnershipLLCCorporation Grant Money is Intended for* (check all that apply)
A more detailed analasis of proposed spending should be included in your plan/proposal. General Start-up CostsGeneral Operating CostsOne-time Purchase

Give a short description of intended purchase:

Additional Documents

Please upload the following documents to your grant application:

W-9*

Identification*

Business Plan/Grant Proposal*

We prefer documents to be in the PDF format, but will also accept .doc, .docx, .jpg, .jpeg, and .png files

Applicant Submission

The information submitted with this form is true and accurate to the best of my knowledge.
My Name and Date below constitute the authentication of this form.

Applicant Name*

Date Submitted*

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Document Downloads

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Documents

W-9
W-4
Policy and Procedure Handbook (Remote Consultants)
Policy and Procedure Handbook (Internal Consultants)
Application for Employment
Monthly Timesheet
Weekly Invoice (Internal Consultants)
Direct Deposit Form
Consultant Info & Emergency Contact
Consultant Referral Form
Federal Holidays List
Travel Authorization Form
Expense Report
Leave Request Form
Incident Report
AT Release of Liability
Centralized Credentials Verification Service Consent and Release from Liability Statement

The appearance of U.S. Department of Defense (DoD) visual information does not imply or constitute DoD endorsement.

Grants for Young Entrepreneurs Application

Grants for Young Entreprenuers Application

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Business Information

Additional Documents

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