Each applicant must complete and submit this form once an approved project is complete to receive Small Business Capital Grant funds.
(full-time and part time)
(if different than applicant)
To submit additional photos, please email them directly to Alexander.Nelson@lafayetteco.gov.
I attest that the information stated above is correct and that I have attached the required documentation.
This field is not part of the form submission.
* indicates a required field