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BEL Application

*There are NO FEES to apply or participate in the program if you are selected*

NOTE: WE WILL NOT CONSIDER INCOMPLETE APPLICATIONS. PLEASE MAKE SURE YOU SUBMIT REQUIRED DOCUMENTS

Please attach copy of registration or patent certificates
Attach proof (if any)
Ex: Agriculture, Textile, Construction, Healthcare, etc..
Ex: Chamber of Commerce, business clubs, women associations, etc..(provide proof of membership if possible)

The 2020 program may include two tiers: Level 1 and Level 2. If you are selected, you will be placed in one of the levels based on the stage of your business.

Sa ka rive ke edisyon 2020 pwogram lan genyen 2 nivo: Nivo 1 e Nivo 2. Si ou seleksyone pou pwogram lan, nou ap mete w' nan you nan 2 nivo sa you selon faz ou ye avèk biznis ou a


Emergency Contact (Haiti)


If applicable
Postal Locality/District/Department

Emergency Contact (United States)


If applicable
WE WILL NOT CONSIDER INCOMPLETE APPLICATIONS

By providing my signature and checking the box below, I understand that If I have misrepresented or omitted any facts relative to this application, I can be denied or discharged from this program. I also commit to helping Haiti become a developed nation through my talents and efforts.

*There are NO FEES to apply or participate in the program if you are selected*

Do NOT follow this link or you will be banned from the site!