Please complete this form for your business, social enterprise, or earned revenue non-profit to learn about future MEI events and opportunities occurring in your state.

It is recommended that you write and save your responses on your computer and only use this portal to submit your final version. This will prevent accidental loss of your work.

Application Primary Contact

First Name

Last Name

Position/Role

Phone

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Venture Details

Organization Name:

Project/Pitch Name:

Organization website (if available):

1. What is the initiative you are requesting financing for? (30 word max)

2. What is the type, amount, and use of funding you need? (30 word max)

3. What social, spiritual, and/or environmental benefits will your initiative create? (30 word max)

4. What makes your journey/story unique and what challenges have you faced? (300 word max)

5..Funding amount requested (numbers only):

6. Fundraising Start Date

7. Fundraising End Date

Please attach the following files

Business plan or pitch deck

Leadership team profile/professional bios including photos

Forecasted investor/lender returns

Investment budget

2018-2022 Financial Statements (historical and projected)

Organization logo (.png preferred)

Photos related to your initiative

Certificate of Incorporation/Organization

Investment Term Sheet

Other

Is there anything else you'd like us to know about your venture or needs?

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