Free Parking in CSC Station Parking Lot
Business Name
*
Business Owner Name
*
First Name
Last Name
Race/Ethnicity
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Two or More Races
Other
Prefer Not to Answer
Gender
*
Please Select
Female
Male
Nonbinary
Prefer Not to Answer
Are you a minority-owned business?
*
Please Select
Minority Owned
Non-Minority Owned
Are you a veteran-owned business?
*
Please Select
Veteran Owned
Non-Veteran Owned
Are you a disabled-owned business?
*
Please Select
Disabled Owned
Non-Disabled Owned
Business E-mail
*
example@example.com
Industry Sector
*
Please Select
Arts, Culture, & Entertainment – Events & Performances
Arts, Culture, & Entertainment – Gallery
Arts, Culture, & Entertainment – Music
Arts, Culture, & Entertainment – Media/News
Construction & Home – Auto/Transportation
Construction & Home – Construction
Construction & Home – Home Maintenance
Construction & Home – Real Estate & Leasing
Creative Services – Photography/Design
Creative Services - Tattoo
Food & Beverage – Bars & Taverns
Food & Beverage – Cafés
Food & Beverage – Deli/Groceries
Food & Beverage – Desserts
Food & Beverage – Specialty or Ethnic Food
Food & Beverage – Vegan/Health Food
Food & Beverage – Other Food & Beverage
Health Care and Social Assistance – Counseling
Health Care and Social Assistance – Community Services/Non-Profit
Health Care and Social Assistance – Education & Training
Health Care and Social Assistance – Family/Child Care
Health Care and Social Assistance – Health Care
Professional Services – Finance
Professional Services – Laundry & Shoe Repair
Professional Services – Fitness
Professional Services – Technology
Professional Services – Translation Services
Professional Services – Other Services
Retail – Apparel & Accessories
Retail – Convenience/Discount Store
Retail – Cosmetics & Health
Retail – Printing/Mail
Retail – Other Retail
Salons & Barbershops – Barbershop
Salons & Barbershops – Hair/Beauty Salon
Salons & Barbershops – Nail Salon
Salons & Barbershops – Spa
What percent of your business serves/comes from Wilmington, DE?
*
Please Select
More than 50%
Less than 50%
None
Where does your business primarily operate?
*
Home Based/Online
Commercial Property
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Are you a member of any of the following chambers?
*
Delaware Black Chamber of Commerce
New Castle County Chamber of Commerce
None
Have you participated or received support from any of these local small business resources/programs?
*
YW Marketplace
YW Market Mingle
Small Business Development Center (SBDC)
Launcher
Enrich Delaware
True Access Capital - Women's Business Center
SCORE
City of Wilmington Economic Dev Office
True Access Capital
PDFF’s Equitable Entrepreneurial Ecosystem (E3)
Wilmington Strong Fund
Wilmington Kitchen Collective
Kiva Delaware
None
Other
How did you hear about the workshop?
*
Social Media
Wilmington Alliance
Local Small Business
Newsletter or Article
Workshop/Event
Friend or Family
Flyer
Internet Search
Other Small Business Program or Resource (please name below)
Other
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