City of Seattle ABC Program Registration
This brief form will take about 5-15 minutes to complete and it is well worth it! If you qualify for the program, you will receive up to 40 hours of free assistance - detailed to be discussed during the intake call.
Your Name
*
First Name (Preferred Name)
Last Name
Your Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about this program?
Have you worked with any other ABC Program consultant(s)? If so, please indicate who you have or are working with.
Have you legally formed your business/company/organization yet? This generally happens when you file for a business license with the WA Department of Revenue, but not always.
*
Yes
No
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About Your Company / Organization
Your Organization's Legal Entity Name
*
You may enter your name if you are a Sole Proprietor
Trade Name (if different)
Your Organization's Legal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which of the following do you already have?
Secretary of State - LLC, PLLC, Corporation, or Nonprofit Registration
State Business License (through WA State Department of Revenue)
City of Seattle Business License (obtained through File Local)
Federal Tax ID number (EIN #)
WA State UBI #
This is on your DOR and/or Secretary of State registrations.
City of Seattle Business License #
This is REQUIRED for participation in the ABC Program. If you don't have one yet, we can help you obtain one.
When did you start your organization under its current legal structure?
*
-
Month
-
Day
Year
It's OK to use an approximate date if you are unsure.
Please list any organizations/business associations or membership groups you are associated with. For example: Seattle Made, Seattle Good Business Network, West Seattle Chamber of Commerce, Seattle Metropolitan Chamber of Commerce, Tabor 100, Urban League, Rainier Avenue Business Coalition, Mt. Baker Business Hub, Beacon Business Alliance, Ventures, etc. If you are new to business and have not yet connected with these types of groups, please share what kind of networking you think you might benefit from.
Which of the follow NAICS codes most closely match your organization? (NAICS = North American Industry Classification System (NAICS) U.S. Census Bureau)
*
11 - Agriculture, Forestry, Fishing & Hunting
21 - Mining, Quarrying, Oil & Gas Extraction
22 - Utilities
23 - Construction
31-33 - Manufacturing
42 - Wholesale Trade
44-45 - Retail Trade
48-49 - Transportation & Warehousing
51 - Information
52 - Finance & Insurance
53 - Real Estate, Rental & Leasing
54 - Professional, Scientific, & Technical Services
55 - Management of Companies & Enterprises
56 - Administrative & Support, Waste Management & Remediation Services
61 - Educational Services
62 - Health Care & Social Assistance
71 - Arts, Entertainment, & Recreation
72 - Accommodation & Food Services
81 - Other Services (except Public Administration)
92 - Public Administration
I don't know, I need help deciding.
Annual Revenue of the Organization
*
Up to $100,000
$101,000 - $250,000
$251,000 - $500,000
$501,000 - $1M
$1.1M - $3M
$3.1M+
How many W2 employees do you have?
*
Non-employer business or nonprofit - A business that has no paid employees, has annual business receipts of $1,000 or more ($1 or more in the construction industries) and is subject to federal income taxes. Most nonemployers are self-employed individuals operating very small unincorporated businesses, which may or may not be the owner’s principal source of income.
1 to 5
6 to 20
21 to 50
51 to 100
101 to 500
501+
Is your business ownership at least 51% female?
*
Yes
No
N/A - We are a nonprofit organization.
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Demographic Survey for Business Owner #1 (or Executive Director in the case of a nonprofit organization)
Requested by the City of Seattle - note, if there is more than one owner, you will be able to enter this same information for owner #2 at the end.
Which category below includes the age of the owner or Executive Director?
*
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
Prefer not to say
What is the highest level of school completed or the highest degree received?
*
Less than high school degree
High school degree or equivalent (e.g., GED)
Some college but no degree
Associates degree
Bachelors degree
Graduate degree
Gender
*
Female
Male
Non-binary
Decline to State
Different Gender/Other
Other
Race/Ethnicity (check all that apply)
*
Asian or Asian American
Black or African American
Native American or Alaskan Native
Native Hawaiian or Pacific Islander
Middle Eastern or North African
Hispanic or Latino/a/x
White
Decline to State
Other (please specify)
What are the primary language(s) spoken at home?
*
English
Spanish
Chinese: Cantonese
Chinese: Taiwanese
Chinese: Toishanese
Chinese: Mandarin
Chinese: Unknown
Vietnamese
Hindi
American Sign Language
Amharic
Arabic
Bhutanese
Burmese/Karen
Congolese
Farsi
Japanese
Korean
Laotian
Mon Khmer/Cambodian
Oromo
Nepali
Pashto/Dari
Russian
Somali
Spanish
Tagalog
Thai
Tigrinya
Ukrainian
French
Italian
Urdu
Other (please specify)
Is there another business owner (who owns at least 20% of the company)?
No
Yes
N/A - We are a nonprofit organization
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Demographic Survey for Business Owner #2
Requested by the City of Seattle
Which category below includes the age of the second owner?
*
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
Prefer not to say
Unknown
What is the highest level of school the second owner has completed or the highest degree received?
*
Less than high school degree
High school degree or equivalent (e.g., GED)
Some college but no degree
Associates degree
Bachelors degree
Graduate degree
Unknown
Gender
*
Female
Male
Non-binary
Decline to State
Different Gender/Other
Unknown
Other
Race/Ethnicity
*
Asian or Asian American
Black or African American
Native American or Alaskan Native
Native Hawaiian or Pacific Islander
Middle Eastern or North African
Hispanic or Latino/a/x
White
Decline to State
Other (please specify)
Unknown
What are the primary language(s) spoken at home?
*
English
Spanish
Chinese: Cantonese
Chinese: Taiwanese
Chinese: Toishanese
Chinese: Mandarin
Chinese: Unknown
Vietnamese
Hindi
American Sign Language
Amharic
Arabic
Bhutanese
Burmese/Karen
Congolese
Farsi
Japanese
Korean
Laotian
Mon Khmer/Cambodian
Oromo
Nepali
Pashto/Dari
Russian
Somali
Spanish
Tagalog
Thai
Tigrinya
Ukrainian
French
Italian
Urdu
Other (please specify)
Unknown
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Desired Areas of Assistance
Please provide information about what you think you want or need help with. If you're overwhelmed, skip to the bottom.
What are you interested in getting help with? Select all that apply.
Business Registrations, Formations, or Permitting
Business Plans or Strategic Plans
Business Development
Logo Design
Overall Brand Strategy
Marketing and/or Social Media
Sales or New Customer Processes
Advertising (e.g. Google/Meta Ads, YouTube/Streaming Ads, TV/Radio/Newspaper ads, Billboards, Media Buys, etc.)
Finding Customers
Tax Accounting
Bookkeeping and/or Bookkeeping Systems (QBO, Xero, Wave, etc.)
Financial Processes and Procedures
Financial Forecasting
Software / SaaS Selection and/or Implementation
Business Process Automations and/or Software Integrations
Overall Digital Infrastructure
Calendar System
Human Resources
Hiring Employees or Employee Policies
Hiring Contractors or Contractor Policies
Payroll
Benefits or Benefits Administration
Legal Assistance (Small Business Contracts)
Online Presence (e.g. Google, YELP, etc.)
Real Estate / Commercial Leasing
Business Loans
Personal Credit
Business Credit
Company/Organization Website
Point-of-Sale Systems
I'm feeling quite lost in general
I'm feeling overwhelmed and want to think about it
Other
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Last question - is there anything else you'd like to share or do you have any questions you hope to talk about during our first engagement with you?
I certify that the information I have provided is true and correct.
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Submit & Schedule Welcome Call
Submit & Schedule Welcome Call
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