Buy From a Black Woman

First Name

Last Name

Mailing Address

Phone Number

Business Name

Business Email

Legal Structure of Business

What year did you start your business?

Have you applied for the Buy From a Black Woman Grant Before?

Business Website

Business Instagram

Business EIN Number

What business industry do you best identify with?

To date, how much profit has your business made? What is your best seller? What item is not moving at all? If none, please write “none”.

Did you apply for the PPP Loan?

Business Facebook

Business Twitter

Tell us about your business

What inspired you to start your business?

What creative work are you trying to get legally protected?

Have you sold this work anywhere?

During the “Can I Trademark That?” video, Nicole gives you a code word to use when applying. What is the word?

How will the Black Woman Business Grant help advance your business?

Is there anything else we should know about your business?

Please upload a screenshot of the creative work you are wishing to copyright.

How did you hear about the Buy From a Black Woman Business Grant?

If other, please list