The basics

Information in this application will be kept confidential, and will only be shared with the selection committee. Deadline to apply is by August 20.

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* 1. First Name

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* 2. Last Name

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* 3. Your email address

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* 4. Preferred pronouns

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* 5. Do you identify as Black or African-American?

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* 6. Are you at least 18 years of age at the time of submitting this application?

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* 7. Are you a resident of the U.S and have a U.S business legal entity?

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* 8. Your business name

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* 9. Your business' website

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* 10. Your business' Instagram link

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* 11. Year that your business was established

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* 12. What is your business' year-to-date gross revenue in 2020?

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* 13. Do you maintain at least 51% ownership of the business?

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* 14. Have you raised less than $500,000 in total equity financing from external investors?

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* 15. Do you agree to the official terms and conditions here?

 
50% of survey complete.

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