ND Cares Business Application

Name of Business: ________________________________________________

Point of Contact

Name:  ____________________________________________________________________   

Phone Number: ____________________________________________________________

Email: _____________________________________________________________________

Address:  __________________________________________________________________

ND Cares Basic Business Initiative Requirements

1. Sign a Resolution of Support for becoming an ND Cares Business partner. This must be signed by the owner, store manager, or similar leader of the business.
2. Sign an Employer Support to the Guard and Reserve (ESGR) Statement of Support. This will be signed at the ND Cares certificate presentation ceremony.
3. Establish an ND Cares Business Initiative steering committee, of an appropriate size as determined by the business leader.
4. Submit a completed ND Cares Business Application Form.
5. Host a formal or informal ND Cares certificate presentation ceremony.  (coordinate with ND Cares staff)
6. Display window signs at each business entrance. Signs will be provided by ND Cares.
   1. Number of signs requested: __________________________

Business Leader Information:

Name: ________________________________________________________________________

Phone Number: _______________________________________________________________

Email: ________________________________________________________________________

Date: ________________________________________________________________________

Business Leader Signature: ___________________________________________________________ 

Please send completed application to ND Cares, PO Box 5511, Bismarck, ND 58506-5511, or email to mgauvinpanos@nd.gov.

Printable Form