Please attach copy of registration or patent certificates
Ex: Agriculture, Textile, Construction, Healthcare, etc..
You can review this article if you are unsure >> https://www.thebalancesmb.com/find-your-business-life-cycle-2951237

Emergency Contact (Haiti)


If applicable
Postal Locality/District/Department

Emergency Contact (United States)


If applicable

*PLEASE EMAIL VIDEOS to info@belinitiative.com (include applicant and business name in email)

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*

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