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The Black Woman Business Grant
First Name
Last Name
Email
Mailing Address
Phone Number
Business Name
Business Email
Legal Structure of Business
Choose an option
Sole Proprietorship
Partnership
Corporation
Limited Liability Company
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What year did you start your business?
Have you applied for the Buy From a Black Woman Grant Before?
Choose an option
Yes
No
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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?
Choose an option
No.
Yes, and I was approved.
Yes, I was denied.
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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?
Choose an option
The Buy From a Black Woman Instagram Page
The Buy From a Black Woman Facebook Page
The Buy From a Black Woman Twitter Page
The Buy From a Black Woman Email
Other
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If other, please list
