Jan Baxter Memorial Fund Application
The Andersonville Chamber of Commerce established the Jan Baxter Memorial Fund in 2018 to honor the legacy of Jan Baxter, owner of the Landmark of Andersonville shop from 1987-2014. Jan’s irrepressible spirit and passion for entrepreneurship helped drive the revitalization of the Andersonville commercial district.

The Jan Baxter Memorial Fund for Andersonville Entrepreneurs provides free business education, technical assistance, mentoring and pop-up space to one awardee per year. The program is tailored to the awardee’s sector and specific needs and pulls from a variety of resources, organizations and people with demonstrable success in business.

Applications for the inaugural 2018-2019 year are due by Friday, March 9th.
The program supports one awardee per year from April 1 – March 31.

Eligibility Requirements:
• Less than two years in business and/or just starting a business
• Business is locally and independently owned
• Owner has interest in a long-term presence in the Andersonville community
• Business type provides a good and/or service beneficial to the Andersonville community
• Owner commits to a full year of participation in the program

Name
Your answer
Email address
Your answer
Phone Number
Your answer
Mailing address
Your answer
Social media handles
Your answer
Business name
Your answer
Which sector best fits your business:
Describe your business concept:
Your answer
Describe your target audience or consumer:
Your answer
Describe your target audience or consumer:
Your answer
Is your business already incorporated?
If yes, what year did you incorporate?
Your answer
Is your business already licensed?
If yes, what year did you license?
Your answer
How would you use the Jan Baxter Memorial Fund to grow as an entrepreneur?
Your answer
How would you use the Jan Baxter Memorial Fund to grow your business?
Your answer
Describe your current connection to Andersonville and why you might want to be a part of the Andersonville business community:
Your answer
Anything else you would like to share?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Andersonville Chamber of Commerce. Report Abuse - Terms of Service - Additional Terms