Introductory Business Consultation
(One-Time | Limited Availability).....Purpose Statement: The Illinois Black Chamber of Commerce® offers a one-time introductory business consultation for business owners and nonprofit leaders who are exploring Chamber membership and are serious about growth. This session is designed to assess readiness, identify gaps, and recommend the most appropriate Chamber pathway. Ongoing advisory support is reserved for Chamber members.
SECTION 1: BASIC INFORMATION
Business Owner
*
First Name
Last Name
Business Name
*
Contact Number
*
-
Area Code
Phone Number
E-mail
*
SECTION 2: BUSINESS PROFILE
Type of Business
*
Please Select
Shop/Cafe
Lending
Store
Rentals
Others, please specify below.
Website (If applicable)
City and State
*
Business Type
*
For Profit Business
Non Profit Organization
Consultant/Independent Contractor
Start-up/Pre-Revenue
Other
Industry
Years in Operation
*
Less than 1 Year
1 to 4 Years
4 to 7 Years
8+ Years
Number of Employees/Contractors
*
Solo
2-5
6-20
21-100
100+
SECTION 3: GROWTH & READINESS ASSESSMENT
What best describes your current annual revenue?
*
Pre-Revenue
Under $100,000
$100,000 – $499,999
$500,000 – $999,999
$1M+
What are your top 2 growth priorities right now? (check all that apply)
Access to contracts / procurement
Access to capital / funding
Business visibility & marketing
Strategic partnerships
Scaling operations
Leadership development
Other
What is your primary reason for requesting this consultation?
*
SECTION 4: MEMBERSHIP INTENT
Are you currently a member of the Illinois Black Chamber of Commerce®?
*
Yes
No
If not a member, are you open to joining the Chamber if it aligns with your goals?
*
Yes, I am open to membership
I am exploring options
No (“This consultation is intended for prospective members only.”)
Which membership level are you most interested in learning about?
*
Foundation Circle™
Growth Alliance™
Legacy Leadership Circle™
VIP Scale Circle™ (Application Only)
Not sure / Need guidance
SECTION 5: EXPECTATIONS & COMMITMENT
Please acknowledge the following:
*
This session does not replace Chamber membership
Ongoing advisory support is available to Chamber members only
I understand not all applicants will be approved for a consultation
This is a one-time introductory consultation
All of the Above
How did you hear about the Illinois Black Chamber of Commerce®
*
Social Media
Referral
Website
Event
Media
Other
SECTION 6: FINAL ACKNOWLEDGMENT
Signature (Type Full Name)
*
Submit
Submit
Should be Empty: