Name
*
First Name
Last Name
Business Name (If Applicable)
Address (Business Address Preferred)
City
*
Zip Code
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you operate your business in Hennepin County or plan to in the future?
*
Yes
No
Business Website (If Applicable)
Email address
*
example@example.com
Demographics: (Race/Ethnicity)
Preferred language
Do You Plan To Use The Technology Grant Reimbursement ? Participants who complete 8 out of 10 workshops in this cohort shall be eligible for a one-time reimbursement of 75 percent of eligible hardware and software expenses as identified during intake, up to a maximum of $1,500. For example, if a business owner spends $1,000 on hardware, they would be eligible for a reimbursement of $750.
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