Organization Information Name of Organization Concept Proposal name

Mission, Vision and Summary • What is your organization’s mission/vision in one sentence? •

Organization Approach • What challenges does your community or region face, and how are

Organization Approach (Continued) • What challenges does your community or region face, and how

Collaboration and Service Area • What areas are you serving? These could include cities,

Implementation Strategy • Provide basics of the plan and phases for implementation (i. e.

Implementation Strategy (Continued) • Provide basics of the plan and phases for implementation (i.

Estimated Budget • How much will this cost? (rough calculations are fine) • How

Team • Who from your team will work on this and in what capacity?

Outcomes • If you are successful, what outcomes will there be? What data and/or

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Organization Information • • • Name of Organization Concept Proposal name Headquarter location (City, State) Website Contact Person (First Name, Last Name) Contact Email Address Contact Phone Number Additional contact, if applicable A statement attesting that you already have obtained or have started the process to obtain a SAM registration (documentation of SAM registration or proof that SAM registration has been initiated must be submitted along with the Concept Proposal)

Mission, Vision and Summary • What is your organization’s mission/vision in one sentence? • How would you summarize your project in two to three sentences?

Organization Approach • What challenges does your community or region face, and how are you addressing within your project? • What specific elements or assets within your Organization will be used to address these challenges and capitalize on the opportunities? • How you will help entrepreneurs scale? (Venture Challenge and as applicable to Industry Challenge) • What is or will be your investment thesis and/or strategy? (Capital Challenge)

Organization Approach (Continued) • What challenges does your community or region face, and how are you addressing within your project? • What specific elements or assets within your Organization will be used to address these challenges and capitalize on the opportunities? • How you will help entrepreneurs scale? (Venture Challenge and as applicable to Industry Challenge) • What is or will be your investment thesis and/or strategy? (Capital Challenge)

Collaboration and Service Area • What areas are you serving? These could include cities, counties, regions, states, etc. • Discuss key collaborations and partnerships. What other organizations and stakeholders will participate and in what capacity? • How will you ensure you achieve diversity of people and organizations that are underrepresented in or unconnected to entrepreneurial activity within your collaborators, partners, and participants?

Implementation Strategy • Provide basics of the plan and phases for implementation (i. e. , tasks and timeline) • What risk factors have you identified that could hinder implementation, and how will you mitigate these? • What is your plan to ensure sustainability post grant?

Implementation Strategy (Continued) • Provide basics of the plan and phases for implementation (i. e. , tasks and timeline) • What risk factors have you identified that could hinder implementation, and how will you mitigate these? • What is your plan to ensure sustainability post grant?

Estimated Budget • How much will this cost? (rough calculations are fine) • How will you provide the match?

Team • Who from your team will work on this and in what capacity? • What makes your team uniquely qualified?

Outcomes • If you are successful, what outcomes will there be? What data and/or methodology are you using to forecast these metrics? • Optional: Address relevant metrics in the “Metrics Template” provided in the Appendix C of the 2020 Notice of Funding Opportunity