Community Impact Builders Network

The Community Impact Builders Network is a collaborative partnership of trusted contractors working with CivicCore Solutions, The Croom Foundation, and SELF to deliver high-quality home improvements, energy efficiency upgrades, and resilience projects that strengthen and improve quality of life for Tuscaloosa County residents.

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Business Name *
Business Address *
Owner/Primary Contact Name *
Cell Phone Number (xxx-xxx-xxxx)   *
Work Phone Number (xxx-xxx-xxxx)   *
Email Address *
Preferred Method of Contact (choose all that apply) *
Required
Please select where you are currently licensed (choose all that apply). *
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Please provide your business license number(s) for each area selected. *
Can you provide a copy of your insurance? *
Business Ownership Classification (choose all that apply)   *
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Annual Gross Revenue (Last Fiscal Year):
This information helps us better understand your business and connect you with the right opportunities. All responses are confidential.  
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Services Provided (Check all that apply):  *
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Years in business and briefly describe your experience. *
Do you or your team provide services in Spanish? *
What counties/cities do you serve? *
Business website or Facebook Page
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