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

What inspired you to start your business?

What is your primary business goal at this time?

What makes your business stand out?

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

Is there anything else we should know about your business?

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

If other, please list

Please Upload A Current Copy of Your Resume or CV

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We got it Black Woman!