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Personal Information

Name(Required)

Relationship to business(Required)

Phone number(Required)

Email(Required)

Do you identify as a women-owned business?

Yes

Do you identify as a person-of-color owned business?

Yes

Business Information

Name of Business(Required)

1. Which of the following best describes your business?(Required)

Do you currently operate a permanent retail location?(Required)

If 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 2024?(Required)

Are you receiving any other types of assistance (such as grants, loans, crowdfunding, mentorship program, etc.)? If yes, please explain:(Required)

Narrative Questions

Tell us more about your business. What is the origin story? (Max 250 words)(Required)

How would this program accelerate your business in 2025-2026 and beyond and help you achieve your business goal/s? Please be as specific as possible. (Max 250 words)(Required)

Describe the biggest challenges of your business.(Required)

In what ways do you and your business connect with your community? Please be as specific as possible. (Max 250 words)(Required)

Why do you think your business can be successful?(Required)

What else should we know about your business, or about you? (Max 150 words)

Apply to Boston Public Market’s Entrepreneurship Forum, powered by Citizens

Personal Information

Business Information

Narrative Questions

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