BGA Launch Grant Fund Application
Please read BGA Launch Grant Fund guidelines before submitting application. Applications
are received on a rolling basis and a decision on an application may take 60 days.
All BGA Grant Launch Fund awardees shall agree that as a condition of receiving funds the Company
must work with a BGA mentor that is assigned to the Company by the review panel.
Name of Company______________________________________________________________________
Primary contact________________________________________________________________________
Address ______________________________________________________________________________
City___________________________________________ State_____ Zip Code _____________________
Phone Number______________________
Email Address________________________
Date the company was established and registered with the Kentucky Secretary of State ____________.
Is the Company a client of the Kentucky Innovation Network? __________ If yes, which? ____________
1. Briefly describe the Company’s technology/product and the stage of development.
2. Describe the Company’s intellectual property and the status of any patent/copyright/trademark
protection.
3. Briefly describe the Company’s target market, competition and any potential customers that may
have been established.
4. Briefly describe the business/revenue models for the Company to take the technology/product into
the market.
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5. Please describe the Company’s team members and their qualifications to implement the Company’s
business strategy.
6. What were the company’s revenues in the previous calendar year?
7. What are the company’s revenues this year to date?
8. What is the amount of funding being requested? (Must be $4,000 or less). ___________________
9. Describe how the BGA Launch Grant funds will be used by Company and what milestone(s) will be
achieved with these funds. The Company must demonstrate that it has the necessary additional
resources committed to meet the milestone(s) set forth in this grant application. Please provide a
detailed budget for the proposed milestone(s).
10. Note - by submitting this application you are certifying that that the company is located in
Kentucky.
Name: ___________________________________________________________
Company:_________________________________________________________
Title: ____________________________________________________________
Date: ____________________________________________________________
Funding partners:
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