Welcome to Electrify California!

Welcome to Electrify California!

New Client Registration Form
By signing up, you unlock a treasure trove of resources meticulously crafted to bolster socially and economically disadvantaged individual (SEDI) entrepreneurs in flourishing within the clean and green economy. Our program is a gateway to personalized business advising, exclusive training opportunities, and connections to vital capital resources. Whether you're a budding entrepreneur or a business owner aiming to expand, our network equips you with the tools, knowledge, and support necessary to thrive in the rapidly expanding low-carbon industries. Seize the opportunity to elevate your business and contribute to a sustainable future. Sign up today to stay in the loop about our latest programs, events, and opportunities!

For complete program details: Electrify California
Customer Details:
Full Name*

First NameLast Name
Business Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*
Business E-mail*
example@example.com
As a federally funded program, we are required to request personal information such as race/ethnicity, gender, economic status, and veteran status to ensure we can accurately track and measure our program's impact on diverse communities, including socially and economically disadvantaged individuals. Lack of documentation is not a barrier to participation. This information is crucial for understanding the individuals we serve and helps us tailor our support to meet your specific needs. It is kept confidential. Remember, by signing up, you're not just gaining access to a wealth of resources, but you're also contributing to a more sustainable future. We never sell our client's information.
Race/Ethnicity (Check all that apply):*

American Indian or Alaska NativeAsian or Other Pacific IslanderBlack/African AmericanHispanic/LatinoWhitePrefer not to sayOther
Is Your Business Owned by a Veteran of the U.S. Armed Forces?*

YESNO
Gender:
Are You Interested In Receiving Services in a Language Other Than English?

YESNO
If "YES," which of the following languages would you want to receive support in:

SpanishChinese (Mandarin or Cantonese)VietnameseTagalog (Filipino)Other
Select all the ways that you qualify as a socially & economically disadvantaged individual (SEDI):*

Membership in a group subjected to racial/ethnic prejudice or cultural bias within American society.GenderRace/EthnicitySexual OrientationReligionLimited English ProficiencyDisabilityMembership in a Federally- or State-recognized Native American tribeReside or work in a rural communityReside in a region impacted by persistent poverty or inequalityNone of the above groupsOther
Tell Us More About Your Business:
What is Your Current Business Formation?*

C CorporationS CorporationLimited liability Company or PartnershipPartnershipSole PropriertorshipNone of the Above: Pre-StartupNone of the Above: Start Up
What is Your Annual Revenue? *
Number of Full-Time Employees (Including Owner)*
What Industry is Your Business In? (Please list your NAICS Codes):*
See the link below for a NAICS code look up.
NAICS Code Look Up: CLICK HERE
How Can We Help Your Business?*

Writing my business planUnderstanding business financesMarketing planCustomer attractionI need funding to grow my businessTalent attractionOther
If not listed above, how can we best support your business?
How Did You Hear About Us?*
Thank you for reaching out to Electrify California! We appreciate your interest in our program and commitment to sustainability. By submitting this form, you're taking the first step toward accessing valuable resources, personalized business support, and exclusive opportunities.

Thank you!
Powered by:
Should be Empty:

Welcome to Electrify California!

Tell Us More About Your Business: