MULTIPLE BUSINESS COLLABORATIVE FORM All of the companies included in the grant must complete Attachment D, but not the lead applicant, and each company must be included on the Application Overview. This attachment(s) is to be included as part of the completed application. A. Applicant Information Business Name: Street/Mailing Address: City/State: County: Zip: Title: Business Contact Person: Ext: Fax: Phone: Company Website: E-Mail Address: Description of Business Product(s) or Service(s): Total number of paid Total number of paid NAICS Code: Years in business at employees at this location: employees throughout training location: How many of employees NC: have an employer-employee relationship? Corporation Partnership Legal Structure of Sole Proprietor Business: (Designation) Other: Not-for-profit For-profit Tax Status of Business: (Designation) Employer’s Federal ID #: Unemployment Insurance ID #: B. Is your company a subsidiary of another company or affiliated with a parent company? Yes No If YES, please provide the following information about the corporate office/parent company, if different from above, or indicate ‘SAME.”
MULTIPLE BUSINESS COLLABORATIVE FORM All of the companies included in the grant must complete Attachment D, but not the lead applicant, and each company must be included on the Application Overview. This attachment(s) is to be included as part of the completed application. A. Applicant Information Business Name: Street/Mailing Address: City/State: Zip: County: Business Contact Person: Title: Phone: Ext: Fax: E-Mail Address: Company Website: Description of Business Product(s) or Service(s): Years in business at training location: Total number of paid employees at this location: Total number of paid employees throughout NC: NAICS Code: How many of employees have an employer-employee relationship? Legal Structure of Business: Sole Proprietor Partnership Corporation (Designation) Tax Status of Business: For-profit Not-for-profit (Designation) Other: Employer’s Federal ID #: Unemployment Insurance ID #: B. Is your company a subsidiary of another company or affiliated with a parent company? Yes No If YES, please provide the following information about the corporate office/parent company, if different from above, or indicate ‘SAME.”
Application-IWG-PDF-to-Word_rev2106-2-1.docx