Manufacturing Matching Grant Application

Thank you for your interest in the Manufacturing Matching Grant Program! Please complete the application below and we will notify you of the status in early November 2019.

Applicant First Name *		Applicant Last Name *
Applicant Title *
Company Name *
Address Line 1 *
Address Line 2
City *		State *
Zip Code *
Telephone Number *
Fax Number *
Email Address *
Website *
Type of Manufacturing Business *
Annual Payroll *
Number of Jobs *
Previous Fiscal Year Revenue *
Current Year Projected Revenue *
Consultant Company Name *
Consultant Contact - First Name *		Consultant Contact - Last Name *
Consultant Address 1 *
Consultant Address 2
Consultant City *		Consultant State *
Consultant Zip Code *
Consultant Email *
Consultant Telephone
Company Match Amount (50%) *
SBANE Match Amount (50%) *
Total Cost of Project *
Attach company justification to hire a third-party consultant *
Attach Additional Supporting Document

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