• Virginia Cannabis Social Equity Partnership – Candidate Screening

    Complete this confidential preliminary screening to confirm your eligibility and readiness for possible social equity license application support and partnership discussions.

  • Contact and Residency

  • Automated screening is preliminary. Final determinations require human and legal review before any decision is made.
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  • Virginia driver's license or state ID status*
  • Willingness to provide residency documentation later*
  • Owns or controls another cannabis license or has a pending application*

  • Preliminary Social-Equity Eligibility

  • Eligibility note
  • Which, if any, potentially qualifying category applies?*
  • For each selected basis, provide a short explanation and whether documents could be produced later
  • Voluntary demographic information for race/ethnicity
  • Voluntary demographic note

  • Background and Licensing Disclosures

  • Have you ever been convicted of any felony or misdemeanor other than a marijuana-related offense?*
  • Do you currently have any pending criminal charges other than a marijuana-related matter?*
  • Are you currently on probation, parole, or any other court supervision?*
  • Do you have any unresolved tax liens or delinquent taxes?*
  • Have you filed for bankruptcy within the past 7 years?*
  • Have you ever had a prior business license application denied, suspended, or revoked, or been cited for a regulatory violation?*
  • Have you been party to a civil lawsuit alleging fraud, theft, breach of fiduciary duty, or dishonesty?*
  • Do you have any ownership or financial interest that could conflict with cannabis licensing or this proposed partnership?*
  • Are you able and willing to complete fingerprinting and a required background check if requested?*
  • A prior record does not automatically disqualify an applicant; each circumstance will be reviewed individually. However, dishonesty or omission in this section is disqualifying.

  • Ownership, Control, and Commitment

  • Willing to own at least 51% of the licensed business if required*
  • I understand majority ownership means genuine voting authority, meaningful profit participation, access to records, and active management—not just lending my name*
  • I can commit to full-time or substantial operating involvement after licensing*
  • I am willing to complete the following if required*
  • I am willing to relocate within Virginia or commute to the selected locality if needed*
  • I am comfortable making documented business decisions and being accountable to regulators*
  • I will disclose all of the following as required*
  • I agree that no ownership transfer, option, buyout, or control arrangement will occur unless permitted and approved by regulators and independent counsel*

  • Experience and Readiness

  • Which business experience do you have?*
  • Which cannabis industry knowledge areas do you have?*
  • Which operational skills do you have experience with?*
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  • Financial and Partnership Preferences

  • Can you personally pay a $500 application fee?*
  • Preferred partnership model for discussion*
  • Which statements are you willing to do during review?*
  • Do you expect to receive salary from the business?*
  • Personal credit range
  • Are you open to working with an attorney-approved financing structure that repays startup funding from business cash flow?
  • Are you open to working with a disclosed minority equity partner, subject to law and regulator approval?
  • Do you understand that any future sale must be voluntary, independently advised, fairly valued, lawful, disclosed, and regulator-approved?*

  • Reliability and References

  • Can you reliably meet deadlines within 24–48 hours?*
  • Which of the following reliable resources do you have available?*
  • Can you attend virtual and in-person meetings in Virginia when required?*
  • Can you organize and maintain records consistently?*
  • Have you ever left or abandoned a business project after accepting funds or responsibilities?*
  • Provide two professional or character references*
  • References will not be contacted without advance notice.

  • Conflicts, Ethics, and Certification

  • Do you have any close personal, family, or business relationship with any team member involved in this partnership?*
  • Are you currently a government employee or public official?*
  • Are you currently holding elected office or seeking a political office position?*
  • Do you currently work for a cannabis regulator, cannabis oversight body, or a regulated cannabis company?*
  • Should be Empty: