Application Boston Public Market Entrepreneurship Forum, powered by Citizens Personal InformationName(Required) Relationship to business(Required) Phone number(Required) Email(Required) What is your gender identification?FemaleMaleGender non-conformingPrefer not to sayWhat race(s) do you identify as? Select all that apply: Asian Black Hispanic or Latin/a/x Middle Eastern Native or Indigenous Pacific Islander White Multi-Racial Prefer not to say Do you identify as LGBTQ+?YesNoDo you consider yourself to be an individual with a disability or disabilities?YesNoBusiness InformationName of Business(Required) 1. Which of the following best describes your business?(Required)Prepared Food/Fast CasualGrocery/Prepackaged Food (cheese, baked goods, sauces, bottled drinks, etc.)FarmArtisanal Good (non-food items)Food Service SaaS/Service Provider (delivery, POS, app, etc)Do you currently operate a permanent retail location?(Required)YesNoDoes not applyIf yes, how many? Website Facebook Twitter Instagram Address What year was your business founded?(Required) Please share a brief description of your business, including the products and/or services you offer (Max 150 words)(Required)Including yourself, how many employees does your business have?(Required) What was your annual gross revenue for 2021?(Required) Are you receiving any other types of assistance (such as grants, loans, crowdfunding, mentorship program, etc.)? If yes, please explain:(Required)Please indicate all of the days and times below that would work for you schedule. Note - in order to be eligible, applicants must commit to attending all six seminars.(Required) Weekday Mornings Weekday Afternoons Weekday Evenings Narrative QuestionsTell us more about your business. What is the origin story? (Max 250 words)(Required)How would this program accelerate your business in 2022 and beyond and help you achieve your business goal/s? Please be as specific as possible. (Max 250 words)(Required)In what ways do you and your business connect with your community? Please be as specific as possible. (Max 250 words)(Required)What else should we know about your business, or about you? (Max 150 words)CommentsThis field is for validation purposes and should be left unchanged. Δ
