Granted Consulting Client Form
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Business/Organization Name 
Contact Person Name
Contact Email
Contact Phone Number
Do you have a website? If yes, please list your URL. 
Organization Type
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Give a short overview of your business (Services you offer, mission statement, etc.
What year was your business established?
Please select any of the following that apply
What state is your business located in? 
Do you currently have a budget? 
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If yes, what is your anticipated annual operating budget size? 
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Do you already have grant funding experience? If yes, please list recent grants received.
Are you registered with SAM.gov?
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Are you registered with grants.gov? (If not registered with SAM.gov, you would not be registered with grants.gov)
Clear selection

Briefly describe the project or program you want funded

What is the estimated funding amount you are seeking?

Beyond grants, what other funding strategies are you exploring?
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Timeline for the project/program (when would you ideally like this completed) 

Target population / community impact

What is your timeline for working with a grant writer? 

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Please select any services you would be interested in:

What is your biggest challenge with fundraising or grants right now?

Is there anything else you’d like us to know?

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