Small Business Registry
Let's connect, support and build from within!
Business Name
*
Contact/ Owners Name
*
Phone Number
Format: (000) 000-0000.
E-mail
*
example@example.com
We'd like to send people your way. Where can we send them?
I’m open to referrals and happy to share my physical location. Please include my address so others can visit, connect, or learn more about what I offer on-site.
I’d love to invite you to explore my virtual site. While I don’t have a physical storefront, you’re welcome to visit my website or online shop to learn more and make purchases.
I don’t have a physical location, but I have an upcoming event I’d like to share. Please help us spread the word and connect others to the experience.
I’m not currently open for business or prefer not to share contact details at this time. Please keep me in the loop for future opportunities, but I am not available for referrals or public listing right now.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Allyship Alignment & Commitment Statement
Humanized Movement defines an ally as an intentional advocate who honors the lived experiences of marginalized communities, actively works to humanize systems of care, connection, and commerce, and commits to amplifying equity, identity integration, and community well-being through their personal, professional, or organizational influence.
In what ways does your business or professional practice currently reflect the values of allyship as defined above? Please share specific actions, partnerships, or commitments that demonstrate your alignment. Additionally, describe how you intend to uphold and deepen this alignment as a registered advocate of Humanized Movement.
*
Type of business and ideal client?
Who do you service? Who are your clients?
Where can your clients find you?
Purchase products & services? Get social?
What type of businesses would you like to connect with?
What is your favorite way to connect?
Would you subscribe to a discount program for other minority businesses?
*
Yes
No
Subscribe to our mailing list to receive updates.
*
Yes
No
Are you located in district 25?.
*
Yes
No
I'm not sure
What sector does your products/ services classify as?
*
Please Select
Agriculture & Natural Resources
Farming, fishing, forestry, mining, oil, and raw materials.
Manufacturing & Industry
Factories, consumer goods, heavy industries (steel, cars, machinery).
Energy & Utilities
Oil, gas, coal, renewables, electricity, water, infrastructure.
Construction & Real Estate
Residential, commercial, infrastructure, and land development.
Transportation & Logistics
Aviation, shipping, rail, trucking, warehousing, supply chains.
Retail & Wholesale Trade
Brick-and-mortar, e-commerce, B2B trade, global distribution.
Finance & Banking
Banks, insurance, investment, stock markets, venture capital.
Healthcare & Life Sciences
Hospitals, pharmaceuticals, medical devices, health insurance.
Education & Knowledge Services
Schools, universities, consulting, training, publishing, research.
Hospitality, Travel & Tourism
Hotels, restaurants, entertainment, events, recreation.
Media, Arts & Creative Industries
Film, music, design, marketing, advertising, publishing.
Professional & Business Services
Law, accounting, HR, architecture, engineering, management.
Government & Public Administration
Regulation, taxation, public policy, military, civic services.
Nonprofit & Social Enterprises
NGOs, charities, cooperatives, community development.
Sports & Recreation
Professional sports, fitness, eSports, leisure activities.
Affiliations
We value the role that churches, grassroots groups, and community-based organizations play in fostering trust, healing, and outreach. By sharing your affiliation, we can better understand how your work is supported, how it reaches others, and how we might collaborate with organizations that are already making an impact on the ground. This helps us strengthen referral pathways, build intentional alliances, and expand access to holistic, community-rooted care.
Are you affiliated with a church or organization?
Yes
No
Which church or organization are you affiliated with?
Does your affiliated church currently offer (select all that apply):
Clinical Counselors
Have an active & updated referral list of licensed clinical counselor?
N/A
Final Step: Share Your Impact
Thank you for completing your registration! If you have upcoming events, featured media, or resources you'd like an opportunity for us to spotlight your commitment of impact through our network, we’d love the option to include them in our upcoming newsletters, social campaigns, and community updates. Upload your flyers, media kits, or event links below:
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