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2027 Salem Small Business Equipment Investment Grant Application
Section 1 – Business Information
Business Name
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Business Address
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What month and year did your business begin operating at this City of Salem location?
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Primary Contact Name
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Primary Contact Phone Number
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Primary Contact Email Address
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Section 2 – Business Profile
Business Type
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Manufacturing
Professional Services
Healthcare
Retail
Restaurant/Food Service
Technology
Construction
Logistics/Distribution
Agriculture
Other
How many full-time-equivalent (FTE) employees work at this Salem location? Count each employee working 30+ hours per week as 1 FTE. For part-time staff, total their weekly hours and divide by 30, then add the result to your full-time count.
Please note, you must have a minimum of two (2) and a maximum of twenty-five (25)
.
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Business Ownership Structure
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A
Independently Owned
B
Franchise
C
Corporate-owned or subsidiary
D
Other
Section 3 – Project Information
Equipment Description: Briefly describe the equipment you plan to purchase and how it will be used in your business.
Itemized costs and vendor information should be listed in the Budget Worksheet you'll upload, not here.
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Estimated Project Completion Date
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Project Funding: SSBEIG awards may be less than the amount requested. If your business receives a reduced award, will it still be able to complete the proposed project as described?
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A
Yes
B
No
If “No,” please briefly explain:
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Section 4 – Anticipated Project Outcomes
Check all that apply.
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Increase productivity
Improve efficiency
Increase production capacity
Improve product or service quality
Improve workplace safety
Increase automation
Reduce operating costs
Reduce waste
Expand operations
Create new jobs
Retain existing jobs
Introduce a new product or service
Enter a new market
Other
Section 5 – Project Narrative (Please limit your combined responses to approximately 500 words.)
Business Need & Project Description: What business need or opportunity will this equipment address? Explain why the investment is needed now and how it will benefit your business.
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Business & Economic Impact: Describe how this investment will improve your business and why the outcomes you selected above matter. Where possible, include specific or measurable estimates, such as increased production, reduced costs, new jobs, or revenue growth.
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Community & Workforce Engagement: Describe your business’s involvement in the local community and workforce, including key activities or partnerships and who benefits. Examples may include workforce training, school partnerships, internships, apprenticeships, employee volunteerism, nonprofit support, or civic leadership. Engagement will be considered in relation to the size and resources of your business.
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Section 6 – Attachment A: Budget Worksheet
Please upload your completed Budget Worksheet here.
Click to choose a file or drag here
Size limit: 10 MB
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Section 6 – Certification
I certify that:
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The information provided is accurate.
Equipment will not be purchased or ordered before the date of the written award notification.
I understand this is a reimbursement program.
Submission of an application does not guarantee funding.
I understand that equipment approved under a SSBEIG award will be subject to verification by the Salem Economic Development Authority.
I understand that approved equipment must be purchased and placed in service, and all reimbursement documentation submitted, within 180 days of the written award notification. Any extension request must be submitted in writing before the deadline and approved by Salem Economic Development.
The business is current on all local taxes and fees.
Applicant Signature
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Sign here
Printed Name
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Title
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Date
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Submit
