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2. Download any templates you need to complete your application.

   Have these files ready to upload before you begin completing the form. The application does not auto-save and must be completed in one sitting. Be sure to rename all templates with the business name before submitting.

4. Business Plan Template
   Business Plan Template (DOCX)
5. Budget Planning Template
   12-Month Budget Planning Template (XSLX)

7. Complete all the required fields in the form below and be sure to click Submit. Staff will preview your submission to ensure a complete application is received. Incomplete applications will not be presented to the Review Committee for consideration.

   If you do not receive a confirmation email that your application was received or have questions, please call 434-332-9851 or email Kristina Smith.

9. General Information
11. Owner / Applicant Name*

    Name of business owner completing the form. All other owners of the business should be listed under "Additional Business Owners."

13. Business Name*

    As listed on your Campbell County Business License. If operating under a fictitious or trade name, please list both the legal name and operating name.

15. Business Street Address*

    Street address in Campbell County where the business is/will be operating. (Should match information on Campbell County business license application).

17. City*
18. State*
19. Zip Code*
21. Business Phone*
22. Email*

    Applicant's Email Address

24. Additional Business Owners

    Includes members of a partnership and officers of a corporation or limited-liability company (LLC). Sole proprietors may enter "None."

26. Number of Years in Business*

    The Start Small Campbell Grant Program is available to start-up business (less than 3 years in operation) and businesses opening their first location in Campbell County.

    1. 0 to 1 year
    2. 1 to 2 years
    3. 2 to 3 years
28. Legal Structure of Business*

    1. Sole Proprietorship
    2. General or Limited Partnership
    3. Limited Liability Company (LLC)
    4. C-Corporation
    5. S-Corporation
    6. B-Corporation
30. All Town and/or County taxes are up-to-date?*

    1. Yes
    2. No
32. Business Plan & Financials
34. Business Plan

    Complete the template and upload the file.

36. Financial Documents

    Upload Income Statement from bookkeeping software (Business is already open) or 12 month Budget Planning Worksheet (if your business has not yet opened).

38. 3-Year Projection of Income Statement*

    Provide a statement projecting your income in Year 2 and Year 3 to go along with the 12 month income statement (See Financial Template)

40. Incomplete Application Acknowledgement*

    1. I understand that applications that are incomplete will not be presented to the Review Committee for scoring.
42. Confirm Business Training Classes and Mentor Review Are Complete
44. In the past 12 months, I attended the following workshops:*

    Applicants are required to attend at least two qualifying workshops/programs within 12 months of their application date. Classes are offered throughout the year. Contact the SBDC-Lynchburg Region, Spark Innovation Center, or the Center for Entrepreneurship to enroll.

    1. StartUp Toolbox: Get Started
    2. StartUp Toolbox: Finding Funding
    3. StartUp Toolbox: Budget and Taxes
    4. StartUp Toolbox: Hiring Your First Employee
    5. StartUp Toolbox: One Page Business Plan
    6. CoStarters Meeting 1 (please enter date below in additional information)
    7. CoStarters Meeting 2 (please enter date below in additional information)
    8. Start Up Tools Box Marathon October 9, 2025 (Morning Session)
    9. Start Up Toolbox Marathon October 9, 2025 (Afternoon Session)
    10. Start Up Toolbox Marathon February 12, 2025
    11. Other SBDC Workshop (include the workshop name and date below in Additional Information Field)
46. Business Plan Mentor Review is Complete*

    1. Yes
    2. No
48. Business Plan Reviewer's Name*

    Please enter the name of your business plan reviewer. Approved reviewers are: Autumn Evans (Spark Innovation Center), Stephanie Keener (Lynchburg SBDC), Jordan Reeves (Lynchburg SBDC), and Maria Niechwiadowicz (Lynchburg SBDC).

50. Date of Business Plan Review*
    Date of Business Plan Review
52. Additional Information

    You may choose to include additional information you feel would strengthen your application. If you have additional documents to send via email, list the names of the documents with a brief description here, so staff can ensure all additional documentation has been received.

54. How Did Your Hear About This Grant?*

    1. Website
    2. Social Media
    3. Campbell Event Guide
    4. Economic Development Staff
    5. Flyer
    6. SBDC Staff
    7. Spark Innovation Center
    8. Word of Mouth
    9. Other
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field