New Voices Business Profile 

1.First Name(Required.)
2.Last Name(Required.)
3.Email(Required.)
4.What zip-code is your business located in?(Required.)
5.How do you identify?(Required.)
6.Are you of Hispanic or Latino descent or origin?(Required.)
7.What best describes your race or ethnic background?(Required.)
8.What is your age?(Required.)
9.Prior to your current company, how would you describe your business leadership experience?(Required.)
10.How would you complete this sentence to describe your current status? My business is:(Required.)
11.How would you describe your business?(Required.)
12.Company Name(Required.)
13.Please provide a short description of your company.(Required.)
14.Please provide a link to your company website. (If you do not have a website please input NONE)(Required.)
15.Instagram
Please use format: https://instagram.com/
(Required.)
16.Facebook
Please use the format: https://facebook.com/
(Required.)
17.LinkedIn (business profile)
18.Pinterest
19.X (Twitter)
20.In what state or U.S. territory is your business located?(Required.)
21.What is your company type?(Required.)
22.What is your company industry?(Required.)
23.How would characterize your company stage?(Required.)
Please provide revenue figures for the last year and your revenue forecast (expected revenue) for this year. This information will be kept confidential and will not be shared externally.
24.2023 Revenue. (Do not use $ or , in the answer, digits only)(Required.)
25.2024 Revenue (Forecast)(Required.)
26.What is the status of your business?(Required.)
27.Have you completed a business plan or lean canvas?(Required.)
28.In what year did you (enter 4-digit year; for example, 1976):(Required.)
29.Incorporation Type(Required.)
30.Number of Customers(Required.)
31.What is the primary economic model of your business?(Required.)
32.Team Size (please enter a number for each)(Required.)
33.Are you profitable?(Required.)
34.What stage of funding is your company at?(Required.)
How much money have you raised to date? (please indicate by category)
35.Equity(Required.)
36.Debt?(Required.)
37.Grants(Required.)
38.What were the sources of capital?(Required.)
39.Are you currently fundraising?(Required.)
40.What do you hope to accomplish through your participation in the New Voices Family?(Required.)
41.Please rank your biggest current challenges with your business(Required.)
42.What is your most pressing challenge (please provide a short description of the top ranked choice you selected in the prior question)(Required.)
43.How often are you hoping to engage with us?(Required.)
44.In what format would you prefer to engage with us? Select all that apply(Required.)
45.How did you hear about New Voices?(Required.)
46.By completing this business profile I consent to New Voices sending me emails related to opportunities.(Required.)
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