General Grants & Assistance Application

General Grants & Assistance Application

Use this form to submit your application to Seymour Main Street.
Applicant Contact Information
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How should be contact you with questions?*

By PhoneBy Email
Business/Organization Information
Business/Organization Name*
Business/Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business/Organization Website
Business/Organization Social Media URL
Project Description
Provide a general description of your project.*
Project Cost Information
Approximate total cost of your project (including permits and architect fees)*
Specific Amount Requested from us for this project.*
Which program are you applying for?*

Upper Story Residential Grant ProgramBuilding Renovation Build Out ProgramRental Purchase Assistance Program (RPAP)Roof Stabilization Assistance Program (RSAP)Alley Way Assistance ProgramSignage ProgramFacade Assistance Program
Project Dates
Expected project start date *

MonthDayYear
Date
Expected project end date*

MonthDayYear
Date
Project Photo Uploads

Upload a sketches, drawings and/or photos of the improvements you would like to make to the property or that you have made already to the building.
Upload images, drawings and/or photos of the project

Please Note: You can upload up to 10 photos. Max file upload size is 10mb. File Types - pdf, doc, docx, xls, xlsx, zip, jpg, jpeg, png, gif
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Project Documents / Invoices Uploads

Upload Copies of your Project Estimates and/or Project Invoices from your Contractor.
Upload estimates/invoices for the project

Please Note: You can upload up to 10 photos. Max file upload size is 10mb. File Types - pdf, doc, docx, xls, xlsx, zip, jpg, jpeg, png, gif
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Project Contractors
Primary Contractor's Name*

First NameLast Name
Primary Contractor's Business Name
Secondary Contractor's Name

First NameLast Name
Secondary Contractor's Business Name
Application Signature
Please sign your application below*

Clear
Please Note: The Seymour Main Street Loan & Grant Committee may contact you for additional Information to complete this application.
Should be Empty:

General Grants & Assistance Application

Applicant Contact Information

Business/Organization Information

Project Description

Project Cost Information

Project Dates

Project Photo Uploads

Project Documents / Invoices Uploads

Project Contractors

Application Signature