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Newark Fresh Foods Program – Small Grocer Program Application

  1. (required)
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  4. (valid email required)
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  14. Type of Business
  16. Business Formation:
  18. Business Ownership:
  21. Proposed Use of Grant:
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I understand that this application is to help enable Brick City Development Corporation (BCDC) to assist me with the Fresh Food Program—Small Grocer Initiative. I agree that BCDC may, at their discretion, order a credit report on me any time after signing. The information on this form will be used to see if I meet the basic criteria for accepting a grant offered by BCDC. To qualify, I must complete the full application and provide all attachments. By completing this application, I understand that in no way does it guarantee that I will be approved for the Fresh Foods Grant.

BY SUBMITTING THIS FORM I CERTIFY THAT ALL INFORMATION ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.