GRANT CENTER INTAKE FORM

We invite you to submit your Grant Center intake registration below and answer a few questions to help us get to know you and your business. These questions are crafted to delve into the heart of your business, its journey, challenges, and goals. Your responses will guide us in tailoring our grant center services to ensure we provide you with the most effective support.

Full Name *

Business Name *

Phone *

What is your preferred method of communication? Check all that apply *

Email

Call

Text

Email *

Business Address *

What industry is your business? *

Arts/Entertainment/Recreation
Beauty/Self Care
Construction
Consumer Goods/Retail/E-Commerce
Consumer Packaged Goods
Energy/Natural Resources
Food and Beverage Services/Restaurants
Healthcare/Wellness
Manufacturing
Personal Services (Childcare, Landscaping, Cleaning, ...)
Professional/Business Services
Real Estate
Social Enterprise/Education
Software
Technology/Telecommunications
Transportation/Logistics
Other
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Do you identify as BIPOC? *

Yes
No
Prefer not to answer
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How much does your business make annually?

Less than $250k
$251k to $500k
$501k to $1M
More than $1M
Other
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How long has your business been in operation?

Have you previously applied for grants or funding?

Yes

No