Be-BLAC Foundation Business Directory

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We’d love to get to know your business better. This survey will help us build an online business directory and connect local businesses like yours! The following questions will not affect your ability to receive funding for the Be-BLAC Foundation. Our community is growing quickly and we want to make sure we are staying connected and supportive of each other.

Do not include my information in the directory at this time. *If you're not included now, there will be opportunities to be included later.

YES, Please include my business/organization.

I DO NOT want my business included at this time.

Clear selection

Business name *

Business email address *

Business phone number, including area code (if you don't have one, type 'none') *

Where is your business located?

In my home

I have physical location

Virtual

Clear selection

Business physical address (if you don't have one, type 'none') *

Website URL (if you don't have one, type 'none') *

Briefly describe your business (what you do, services you provide, etc.) *

Select your business structure *

Sole Proprietor (owned and operated by one individual, with no legal distinction between the owner and the business)

Partnership (owned by two or more individuals who share profits, losses, and management responsibilities.)

Corporations (A legal entity separate from its owners, providing limited liability to its shareholders, and capable of raising capital through stock.)

S CORP (A special type of corporation that allows profits to pass through to shareholders' personal income without being subject to corporate tax, while offering liability protection.)

Limited Liability Company (LLC) (A hybrid structure that offers the liability protection of a corporation with the tax benefits of a partnership or sole proprietorship)

Not sure/Not yet registered

Select your business type: *

For-Profit (aims to generate income for its owners or shareholders.)

Nonprofit (operates to achieve a social mission or public benefit, not for profit.)

Startup (newly established company focused on developing a unique product or service, often in the early stages of growth.)

Not sure

Select your Industry Classification

Do you have ideas for future workshops? Share below!

Would you be interested in leading a business workshop? *

Yes

Maybe

If yes, what topic(s) can you facilitate for businesses, startups and/or nonprofits? (Type "none" if no desire to facilitate.) *

How do you identify your race/ethnicity (select all that apply)?

African American or Black

Asian or Pacific Islander

Hispanic or Latino

Native American

White or Caucasian

Other (please describe)

Required

Select any of the statements that apply below *

I am an ally: I am not a non-minority that chooses to unite and support minority businesses

I am an affiliate: I represent a business that makes financial gain by marketing to minority businesses

I am a funder: I provide financial backing for projects and/or businesses.

None of the above statements apply to me.

Required

Would you be willing to volunteer as a BE BLAC Supporter/Ambassador to the community? *

Yes, would love to!

No, not at this time.

Maybe

Are you interested in serving on the board of directors or any board committees? *

Yes, would love to!

No, not at this time.

Maybe

Would you like to be added to our email list?

Yes

Clear selection

Add any additional questions or comments here.

Submit

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