Scholarship Form 2022

The GROW Nebraska® Foundation has scholarships and financial aid available for low income members and special circumstances. This application must be completed in full.

A GROW Nebraska representative will get back to you in 10 days or less. If you have any questions, contact [email protected].

Date Completed *

Format: MM/dd/yy

First Name *

Last Name *

Business Name *

Business Website

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Email Address *

Phone Number *

County *

Age *

Month & Year Business Started *

Format: M/d/yyyy

Are you a home based business? *

Yes No

Number of full time employees? *

Number of part-time employees? *

For the most recent full business year, what were your Gross Revenues/Sales? $ *

For the most recent full business year, what were your +Profits/-Losses? $ *

In your family household, how many Adults do you have? *

In your family household, how many Children (under 21) do you have? *

How are you currently marketing your business? *

Social Media Amazon, Ebay, Etc. Personal Website Craft Shows Whole Sale Other

Are you planning to list products with us, online and in store? *

Yes No

This Application is Complete and Accurate. *

By checking this box, I hereby attest that my response and the information provided on this form are true, complete, and accurate.