Registration Form

Please complete the following registration survey. Thank you for your assistance.

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* 1. Please provide the following information:

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* 2. Have you started a business?

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* 3. Please indicate your gender:

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* 4. Please indicate the race/ethnicity you most identify with:

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* 5. Military Service/Veteran Status:

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* 6. Do you consider yourself a person with a disability?

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* 7. Are you currently certified as a Women Business Enterprise or Minority Business Enterprise?

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* 8. Are you currently doing work, or have you done work in the past, with the City of Pittsburgh or its authorities?

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