PMP Web Form

What is your interest in Portland Means Progress?*

I want to sign up as a Portland Means Progress business
HIDDEN OLD What is your interest in Portland Means Progress?*

I'm interested in learning more about the programI want to sign up as a Portland Means Progress businessI represent an organization that is interested in providing support servicesI'm an Early Adopter business recommitting for 2020
Contact Information
Please provide contact information for your organization’s primary Portland Means Progress contact.
Name*

First NameLast Name
Email*
example@example.com
Title*
Phone Number*

Area CodePhone Number
Do you want to provide a secondary contact?

YesNo
Secondary Contact Information
Contact 2 Name

First NameLast Name
Contact 2 Email
example@example.com
Contact 2 Title
Contact 2 Phone

Area CodePhone Number
About Your Organization
Organization Name*
Address*

Street Address

Street Address 2

CityState

Zip

Actions
WORK EXPERIENCE: we commit to creating work experiences for underrepresented youth, removing barriers for candidates that have faced barriers to employment.

INTENTIONAL PURCHASING: we commit to support local small businesses in Portland by purchasing goods and services, taking action to remove barriers for disadvantaged businesses.

CULTURE CHANGE: we commit to engaging in Culture Change work through anti-discrimination efforts.
Which Portland Means Progress action(s) does your organization commit to? Select all that apply.*

Work ExperienceIntentional PurchasingCulture Change

Intentional Purchasing

The following questions are about your organization’s intentional purchasing goals.
Which of the following policies, practices, or actions is your organization interested in implementing? Select all that apply.*

Intentional purchasing from disadvantaged businessesTracking total dollars spent at local disadvantaged businessesIncreasing dollars expended to local disadvantaged businesses from the previous yearEstablishing policies that create opportunities and remove barriers for local disadvantaged businessesBuilding relationships that result in ongoing purchasing from disadvantaged businessesOther
Do you want to add a contact for the Intentional Purchasing Action?

YesNo
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number

Culture Change

The following questions are about your organization’s culture change goals.
What is your top priority in the calendar year to advance your internal culture change goals? (may be related to policies, practices or actions)*

Other
What is your top priority in the coming year to advance your internal culture change goals? (may be related to policies, practices or actions)*
Do you want to add a contact for the Culture Change action?

YesNo
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number

Contact Information