Small Business Scholarship Member Application

Thank you for your interest in becoming a member of the Iowa City Area Business Partnership through the Small Business Scholarship program. This program provides recipients with the typical benefits of membership as well as some additional support to ensure recipients get the most out of their membership.

To be considered for a scholarship, fully complete the application below. If you need assistance in completing the form, email mary@iowacityarea.com or call 319.337.9637.

Fields marked with an * are required.

Contact Information
Provide contact information for the person who owns or is responsible for the business. This is the person we will contact to discuss this application.

First Name *

Last Name *

Title *

Email *

Phone *

Business Information
These questions provide basic information about your business.

Business Legal Name *

DBA Name (Doing Business As), if applicable

Business Street Address *

City *

State *

Postal Code *

Mailing Address *

City *

State *

Postal Code *

Website

Date your business was established *

Date you became owner, if different than above

Number of full-time employees (work 30hours per week or more) *

Number of part-time employees (work less than 30 hours per week) *

Tell Us About Your Business and Your Needs
These questions help us understand your business goals, needs, and what resources will help you be successful.

What products or services do you provide? *

What are your current business objectives and long-term goals? *

What are your business support needs (select all that apply)? *

Accounting & financial management

Customer service

Employee management

Human resources & hiring

Legal

Marketing & promotion

Operations & business planning

Sales

Technology

Are there other support and resource needs that you have?

How will this member scholarship help your business? *

Additional Information
We are invested in improving our support of businesses that are underrepresented in our membership. Answers to these questions help us provide the services that you and other small businesses need.

Have you attended a Business Partnership event? If so, which one(s) and when? *

Please verify that you have checked the “I'm not a robot” checkbox.