Black Renaissance Program Client Assessment

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If you are interested in joining the next Black Renaissance Program cohort please complete this assessment. This will help us figure out if this program is the right fit and, if not, what other resources we can provide. The next cohort will begin in January 2025. Please complete and submit this client assessment by October 31, 2024. This info is all kept confidential, and the more info you provide, the better we can support you. If you have questions please email supportblackbiz@rencenter.org or call (650) 204-0921.

Name *

Email Address *

Phone Number *

Business Name

Type of Business or Industry *

Are you currently a Renaissance client? *

Yes

Are you currently a SBDC client? *

Yes

County *

What city is your business located in? *

Zip Code? *

What stage of business are you at? *

Idea

Start-Up

Growth

Established

Expansion

How long have you been in business? *

Is your business registered with the State of California? *

Yes

Not

Does your business have an EIN or Tax ID? *

Yes

Not

Do you have a business bank account set up? *

Yes

What is your business website? *

What is your social media handle?

Do you have a DUNS #? *

Yes

What is your business structure? *

Is your business 51% or more black owned? *

Yes

Estimated annual business revenues?

How did you hear about the program? Who referred you? (Must be a Renaissance or SBDC employee) *

Do you have any employees? If so how many? (Include yourself as the owner) *

1(Just me) - 5

5-10

10-15

More than 15

What are some of your challenges within your business? What assistance do you need? *

Website

Social Media Marketing Strategies

Equipment

Technology

Securing a business license, EIN, or DUNS #

Professional Services (tax prep, attorney, CPA)

Business Location (Brick and Mortar, Vehicle, etc)

Business Coaching/Mentoring

Access to Capital

Government Contracts

Trainings and Certifications

Business Structure (LLC, Corporation, etc.)

Other:

Required

Explain what you need to grow or expand your business. (Examples could include: investors, food truck, operating permits, location, etc.)

What are some of your short and long-term goals for your business?

What are you hoping to get out of this program?

Thank you for completing this assessment. Are you willing to fully participate, attend workshops, submit requested documents/information and be committed to working towards your business goals?

Yes

Submit

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