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* 1. Please list your agency name.

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* 2. Agency Owner(s) Name(s).

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* 3. Is your agency 100% or at least 51% owned by someone who is African-American or by someone who identifies as African -American and/or Black?

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* 4. What services does your agency offer?

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* 5. What industries does your agency work with?

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* 6. Does your agency handle clients - locally, regionally, nationally, or internationally?

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* 7. Please name 3 of your current and/or previous clients.

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* 8. How long has your agency been in business?

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* 9. How many employees/contractors does your agency have on the team?

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* 10. Please list any certifications your agency holds.

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* 11. Please list the awards and recognition you’ve received that are the most meaningful to you.

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* 12. Please list your agency website.

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* 13. Please list your social media handles.

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* 14. Please provide an agency contact name (if it’s different from the owner or there are multiple owners), number and email address.

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