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New Voices Business Profile (v1)
About You
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email
(Required.)
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4.
Company Name
(Required.)
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5.
In what state or U.S. territory is your business located?
(Required.)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Other (please specify)
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6.
What zip-code do you live?
(Required.)
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7.
How do you identify?
(Required.)
Male
Female
Non-Binary
I care not to answer
Other (please specify)
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8.
Which race/ethnicity best describes you? (Please choose only one.)
(Required.)
White or Caucasian
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another race
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9.
What is your age?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
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10.
My business is:
(Required.)
my full time job and occupation
part time and I have a full time job elsewhere
part time and I have a part time job elsewhere
Current Progress,
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