BIPOC Iowa Business/Organization Submission
This is a platform to showcase and highlight Black, Indigenous, & people of color in Iowa (or with Iowa ties).

Looking for the individual Submission form? Go here:
https://forms.gle/DQX2mVkhMsJ24Y4H9

Focusing on businesses, individuals, and organizations.

Requirements are:
You are a Black, Indigenous, or person of color with ties to Iowa.

Sign in to Google to save your progress. Learn more
Email *
Owner/Founder/Leader/Rep Full Name *
Name of Your Business/Organization *
Age (of Owner/Founder/Leader/Rep listed above) *
Title/Occupation (of Owner/Founder/Leader/Rep listed above) *
Current Location *
What is your tie to Iowa? *
Cultural Identity (ie. Black, Chinese American, etc) (of Owner/Founder/Leader/Rep listed above) *
Pronouns (she/her, they/them, he/him, etc.) (of Owner/Founder/Leader/Rep listed above) *
Social Media account(s) / website(s) *
A little bit about your business/organization (story/mission/vision) *
Title for Graphic (ie restaurant, nonprofit, etc.)   *
Is there anything else you would like to add or say?
Send me up to 9 photos (and/or videos) that represent your organization/business. (Please include at least 1 photo of yourself!)
You can email them to me at BIPOCiowa@gmail.com once you have filled out this form and/or DM me the photos on instagram @bipociowa.

You can view examples on the page now: instagram.com/bipociowa

If you have a specific order you'd like me to display them in, please include that in your email.

If you'd like to include photo/video credit, please include those in your email.

You don't need to format them in any specific way, just send them however you would like and I will format them as necessary.
Did you send me photos? *
Required
Do you have any recommendations for anyone to be featured? (The only requirement is that they are a BIPOC (Black, Indigenous, or person of color) with ties to Iowa) Drop their contact info and/or instagram handle below!
Thank you so much for participating!
If you have any questions, feel free to send me an email at BIPOCiowa@gmail.com or DM me on instagram at @BIPOCIowa.

Looking for the individual Submission form? Go here:
https://forms.gle/R6YQLkGo8JWNdFCv6
Do you have any additional questions?
(Optional) Do you have any feedback for me and this project?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy