Mind Your Business Mastermind Application
If you have questions, or would like help, please contact Tina at info@businessesofcolor.org. These questions are required by the grant that funds this program through Washtenaw County. We will be in touch with you about next steps!
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Email *
Your Name (First and Last) *
Phone Number *
Home Address *
Business Name *
How many years have you been in business? *
What kind of business do you have?
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Business Address (Please include your Street, City, and Zip Code) *
This program is for small business owners that qualify according to their household income. (For example: if you made $24,000 from your business after paying expenses, and you live with your spouse who makes $30,000. Your total household income is $54,000.)  Please check one box. *
What Is Your Gross Annual Revenue in 2021 or 2020? (Your gross annual revenue is how much your business took in, before you paid any expenses, subcontractors, etc.) *
How many years old is your business? *
Were you in business on (or before) March 16, 2020? *
How was your business established on (or before) March 16, 2020 *
Does your business exist now? *
Is your business relocating? *
How did Covid-19 affect your business? *
Did you business receive any technical assistance (help with training, learning, or other support) or grants due to the impact of the pandemic? *
If I qualify for this program, I agree to provide a copy of my most recent household taxes, and documentation that you were operating a business as of March 16, 2020, such as: Limited Liability Company Articles of Incorporation, Sole Proprietorship documentation, Business Taxes from 2020 or Other. *
What is your race? (Not a factor in qualifying— this is for grant reporting purposes only.) *
Hispanic/Latino Ethnicity *
My business is: (Check all that apply.) *
Number of employees including the owner. *
Why are you interested in the Mind Your Business mastermind program? What do you hope to accomplish? *
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