Emergency Response Program Signup
Please take some time to tell us a little about your business currently, this will help us provide appropriate resources and information quicker.
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Name of Your Business *
Business Address *
City *
State *
Zip Code *
Name of Main Contact *
Phone Number
Email Address *
Confirm Email Address *
Business Website
Short Description of Your Business *
How many employees do you have? *
Times are tough right now, can you tell us a little about what you're most struggling with? *
How did you hear about this program? *
Free, one-on-one consultations will also be available for participants to ask specific questions about various federal, state, local and private programs (loans/grants/deferrals/law changes). Are you interested in signing up for one? *
At gener8tor, our mission is to be the best partner for communities to create wealth and jobs by investing in their best and brightest. It is a top priority for us to ensure that this work is as inclusive as possible, so we would like to get some information from you. The collection of this data is completely voluntary and is solely intended to help ensure inclusiveness at gener8tor. Would you be willing to fill out some demographic questions? *
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