First Name *

Last Name *

Email *

Pronouns

She/her They/them He/him It/Its Other (please specify)

Phone *

LGBTQ+ Identification *

Lesbian

Gay

Bisexual

Transgender

Queer

Allied (Straight Support of Equality)

Female

Male

Other

Are you a current member of GSBA? *

Enter required value Yes No

Organization *

What is your organization or business name?

Address Line 1 *

What is your business address?

Postal Code *

Describe Your Business *

Please give us a short description of your business. 

State *

Enter required value

How many years have you been in business? *

Please enter full numbers only. If less than a year, enter "0"

How many full-time employees do you have? *

Enter required value Only Myself 1-3 4-10 11-50 51+

How many part-time employees do you have? *

Enter required value n/a 1-3 4-10 11-50 50+

What industry/sector is your business in? *

What is your NAICS code (if known)?

Is your business minority-certified? *

Enter required value Yes No

Is your business OWMBE certified? *

Enter required value Yes No

Is your business NGLCC certified? *

Enter required value Yes No

How much revenue did your business make last year?

0-$50,000 $50,001-$100,000 $100,001-$250,000 $250,000+

Who is your target market/ideal customer? *

What challenges are you hoping to overcome and what are you expecting to get out of the program? *

Tell us why you're signing up for the business accelerator. Be as specific or vague as you like. 

I prefer to attend *

Enter required value In person Virtually Either

My preferred session is: *

This year's sessions are: 

Every Wednesday

Location: Darrington Public Library

Session: 10:30am – Noon

Every Thursday

Location: Seattle Public Library

Session: 10:30AM – 12PM

Location: Snohomish Public Library

Session : 6:00PM – 7:30PM

Location: Virtual (Zoom)

Session: 6:00PM - 7:30PM

Enter required value Wednesdays - Darrinton Thursdays - Seattle Public Library Thursdays - Snohomish Public Library Thursdays - Virtual No Preference

How did you hear about us?

Select All That Apply

GSBA Newsletter

Facebook

Instagram

LinkedIn

GSBA Website

GSBA Staff Member

Other Source