Join our Directory

First and Last Name:

Pronouns

Name of Business (This will be shown on the website)

Does your business have a physical location?

Yes

Mobile - ie Food Truck

Business Address (This will be shown on the website)

City, State, Zip

Business Phone Number (This will be shown on the website)

Business Website (This will be shown on the website)

Business Email (This will be shown on the website)

Business Description ( a few sentences or less...This will be shown on the website)

Business Social Media Accounts

Select a category that best fits your business (Select all that apply)

Restaurant/Food Service

Product (Retail / Shopping, etc)

Services (Salon, Legal, Consulting, etc)

Arts and Entertainment

Not for profit

Other (please specify below)

What other category best fits your business?

Please specify which industry

Please describe: What business organizations/groups are you a member?

What race/ethnicity do you identify? (Select all that apply)

Black/African-Heritage

American Indian / Alaska Native

Latino / Latinx

Native Hawaiian

Asian, Pacific Islander, Desi American

Another Way

Please Specify

Which gender do you most identify? (Select all that apply & Optional)

Male

Female

Transgender

Nonbinary

Two Spirit

Intersex

Another way:

Please specify (optional)

What are your business needs?

Financing

Physical Location

Technical Assistance

Other

Partners

Coalitions of Change. Bringing business and community members together. Thank you for the generous support of our sustaining partners.