Liberty Project Intake Form

The Liberty Project

Please only apply if your business is based in Seattle or can provide services for the City of Seattle (construction/power utilities) or actively looking to have a location in Seattle.
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Organization Name *
Organization Name
What Year was your organization founded?*
Business Full Address*
Business Website*
Gender*

MaleWomenNon-binaryPrefer not to say
Race or Ethnicity*

Black or African AmericanAmerican Indian or Alaska NativeAsianHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhitePrefer not to answer
Current Revenue*
Current Number of Employees*
Business Type*

Combination Business Enterprise – owned by women and minorities (CBE)Minority Business Enterprise – owned by minorities (MBE)Minority Women Business Enterprise – owned by minority women (MWBE)Socially and Economically Disadvantaged Business Enterprise – owned by non-minority men who found to be socially and economically disadvantaged (SEDBE)Woman Business Enterprise – owned by women (WBE)Non-ProfitN/A
Industry*

Commercial ConstructionFood & Beverage ManufacturingPersonal ServicesPower UtilitiesRestaurantsRetail
Are you a B2B or B2C*

B2BB2C
Do you employ Seattle Citizens*

YesNo
Are you interested in a future business location in downtown Seattle?*

YesNo
How did you hear about the Liberty Project?*

City of SeattleTabor 100University of WashingtonSeattle UniversityWord of MouthReferralBlack Business WarehouseSocial MediaWebsiteTvRadioOther
Which program(s) topics are you interested in learning more about? (check all that apply)*

Business Finance WorkshopsBusiness Management Consulting ProgramsAccess to Capital & Lending ProgramsStrategic Communication, Decision Making & PlanningLeadership & Executive TrainingBusiness Certification/ Registration TrainingPrinciples Of NegotiationBusiness Growth and Sustainability
Please describe your business challenge or opportunity:*
Should be Empty:

The Liberty Project