Indianpreneurs

Indianprenuer Referral Form

Thank you for submitting information about an Indian-owned business for the Johnson Scholarship Foundation Success Story Project. Use this form to submit information about a business that is owned by a person who received a scholarship from the Johnson Scholarship Foundation.

* Your name (name of person submitting form)

* Your contact information - email or phone number

* Your mailing address (for mailing the check to you)

* Name of the business

* Name of business owner

* Complete address of the business

* Business phone number

* What kind of business is it? For example, is it an arts & crafts, home business or service business (such as landscaping, food service, convenience store, etc.) Tell us about the specific products made, distributed or sold.

Do you know what year the business owner received a scholarship from Johnson Scholarship Foundation? If so, please indicate it here.

* Have you spoken to this business owner to let them know we will be calling them?

Yes

Is the business owner will to participate in a half hour interview?

Yes

* Indicates Response Required


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