Application Form

GROW LOCAL AMERICA

2026 BUSINESS GROWTH INITIATIVE APPLICATION

Thank you for your interest in Grow Local America.

This application helps us better understand your business, growth objectives, operational challenges, and potential eligibility for available business growth assistance opportunities.

All information is kept confidential and used solely for program evaluation purposes.

Estimated Time: 3–5 Minutes

Business Information

Business Name *

Business Website

Industry

Year Business Established

Business Address

City

State

ZIP Code

Primary Contact Name

Title / Position

Phone Number *

Email Address *

Business Profile

How many full-time employees does your business currently have?

1–5

6–10

11–25

26–50

51–100

100+

Annual Business Revenue

Under $100,000

$100,000 – $500,000

$500,000 – $1 Million

$1 Million – $5 Million

$5 Million+

Which best describes your business?

Retail

Service Business

Healthcare

Professional Services

Restaurant / Hospitality

Contractor / Construction

Manufacturing

Nonprofit

Other

Growth Assessment

In your own words, what is the single biggest obstacle preventing your business from reaching the next level?

Technology Assessment

If you currently use a CRM or business platform, which one?

Salesforce

HubSpot

Zoho

GoHighLevel

Odoo

Monday.com

Custom System

Other

None

How do you currently manage customer follow-up?

Manual

Spreadsheet

CRM

Email Automation

SMS Automation

We Do Not Actively Follow Up

Marketing & Growth

Approximately how much does your business invest in marketing each month?

Under $500

$500–$1,000

$1,000–$2,500

$2,500–$5,000

$5,000–$10,000

$10,000+

Do you currently track where new customers come from?

Yes

Do you know your approximate customer acquisition cost?

Yes

Growth Assistance Review

How would your business use additional growth resources or assistance?

If your business were selected for a Growth Assistance Package, what impact would it have on your business over the next 12 months?

Eligibility Confirmation

Are you the owner or authorized decision maker?

Yes

Would you be willing to participate in a brief Business Growth Review if selected?

Yes

How did you hear about Grow Local America?

Phone Call

Referral

Social Media

Search Engine

Radio

Community Organization

Business Association

Other

FINAL CERTIFICATION

I certify that the information provided is accurate to the best of my knowledge. *

Submit Application

What Happens Next?

Applications are reviewed on a rolling basis.

Selected businesses may be invited to participate in a Business Growth Review to determine eligibility for available assistance opportunities, growth resources, modernization initiatives, implementation support, and other program benefits.

Not all applicants will qualify. Assistance opportunities vary based on business needs, available resources, eligibility, and current program availability.

Application Form

GROW LOCAL AMERICA

2026 BUSINESS GROWTH INITIATIVE APPLICATION

Business Information

Business Profile

Growth Assessment

Technology Assessment

Marketing & Growth

Growth Assistance Review

Eligibility Confirmation

FINAL CERTIFICATION

What Happens Next?

Application Received

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