SBM Minority Small Business Program Application

- Your Full Name
- Primary Email Address
- Secondary Email Address
- Primary Phone Number
  
  Area CodePhone Number
- Secondary Phone Number
  
  Area CodePhone Number
- What is your primary language?
- When is the best time to call?
- Are you able to meet virtually or face-to-face during the day (before 6 pm)?
- What is the legal name of your business?
- Do you have an alternative business name or DBA?
- Are you a minority owned and operated business?
- How many hours a week do you spend actively working on your business?
- Business Physical Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Mailing Address (if different)
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- How long have you been in business?
- What kind of business do you own?
- About how much revenue did you make last year (estimate)?
- Does your business solve a unique problem?
- What pain points are you currently experiencing inside your business?
- What do you want to achieve through this program?
- How many employees do you have?
- Average Salary
- Is the business currently generating revenue? If Yes, how much?
- Is the business a franchise?
- Do you engage in a consulting or "coaching" business?
- Is the business a non-profit organization?
- If you do not have one of the items below, simply type “None” in the text box shown.
- Website Address
- Facebook Page
- Twitter Page
- Instagram Page
- Blog Address
- Other Social Media Channels
- Appointment cancellations require 24 hour notice. Would this be a problem?
- How did you hear about the Minority Small Business Program?
- Should be Empty: