Business Activation Pipeline: REACH & GBN Intake Form
Share your background, business stage, needs, and goals so we can match you to the right support.
Applicant Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Origin / Heritage
Languages Spoken
*
English
Spanish
Arabic
French
Nepali
Somali
Swahili
Kinyarwanda
Vietnamese
Pashto
Mai Mai
Telugu
Turkish
Other / write in your language
Interpreter Needed
Yes
No
LinkedIn or Website
Business Overview & Stage
Business Name (if applicable)
Which stage describes you?
*
Future Entrepreneur (I am exploring the idea of starting a business. I have a business idea but have not started planning yet.)
Early-Stage Founder (I have created a business plan and am beginning to prepare my business.)
Pre-launch (I am almost ready to start my business. I have completed key steps such as registering my business, getting licenses or permits, finding funding, or setting up operations.)
Newly Launched Business (0–12 months) (My business is open and operating. I am still learning and need support to grow and strengthen my business.)
Returning Entrepreneur (I have owned or managed a business before and am starting a business again, either with a new idea or by restarting a previous business.)
Other
Describe your business in one or two sentences (What do or will you sell, make, or do?)
*
Who is your target customer (Who do or will you sell your products or services to?)
*
Upload your business plan (PDF or link) (Optional but strongly encouraged).
Upload a File
Drag and drop files here
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Readiness & Validation
Current business readiness
*
I need to learn the basics of starting and running a business
I am ready to take next steps to start or grow my business.
Have you previously participated in a business workshop, training program, or the REACH program?
*
Yes
No
If yes, which program or workshop?
What immediate actions are you ready to take within the next 12 months?
*
Register my business
Apply for funding
Secure a location
Apply for Minority & Women Business Enterprise Certification
Complete vendor registration and fill out vendor applications
Help in creating or updating materials that promote my business
Begin or expand storefront activation (site identification, LOI, lease, or build-out planning)
Other
What barriers are currently preventing you from launching or scaling your business?
Program Goals
Top 3 support areas needed
*
Business Model & Idea Development (Developing or refining your business model, identifying market opportunities, early product or service development)
Business Registration and Compliance (Getting your business ready- registering your business, getting licenses and permits, understanding zoning, health, and regulatory requirements)
Funding & Financial readiness (Capital Access- Loans, Grants, Tax Credits, Investment Opportunities)
Certification & Procurement Vendor Opportunities (Certification pathways, Procurement readiness, Vendor readiness, Access to contracting opportunities)
Marketing, Branding & Customer Growth (Developing practical strategies to increase visibility, attract customers, and grow your business)
Storefront or Space Activation (Finding or Securing commercial space, storefronts, letters of intent or leases, help with build-out or renovation planning)
Other
Where do you want your business to be 12 months from now?
*
Commitment & Capacity
Can you commit to participating in all program sessions?
*
Yes
No
Unsure
If unsure, please explain what may affect your availability.
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