Black Owned Business Website Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hopeworks will provide a dynamic and engaging website (valued at $20,000) to a Black Owned Business in the Greater Philadelphia area, at no cost to the recipient. Our goal is to support the growth and accessibility to Black Owned Business. Serving these businesses will also enable Hopeworks to provide Camden and Philadelphia’s young residents with an opportunity to grow their technical skills, gain real world experience and ultimately transition into gainful employment. The result? Together, we’re building strong futures and Creating financial stability and professional development for youth in Camden and Philadelphia.

Email *

Organization's Name *

Is your company a Black Owned Business? *

Yes

Required

Is your company a For Profit Organization? *

Yes

Required

Organization's Address (Please include the state and zip code) *

Industry or Sector (for example, Healthcare, IT, Education, Retail, Food / Drink, Construction, etc.) *

Your Title / Role: *

Your Email *

Your Phone # *

How did you hear about Hopeworks and the free website opportunity? *

Please describe your organization and the work you do *

Please describe your website needs *

What would be the impact of this project on your organization and the community? *

Is there anything else we should know? *

I would like to stay in touch *

Yes

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Hopeworks. Report Abuse

Forms