Business Client
Please be as thorough as possible with your application so that we can properly assess your needs and cater our services to you. We will be prioritizing businesses that have been more heavily impacted by COVID-19 or another difficult situation.

We are currently receiving responses on a first-come, first-serve and rolling basis for our program. We highly encourage all businesses to apply as early as possible as we will be closing applications once we reach full capacity.

Our early deadline for applications is Dec 18th, 2020. It is on a rolling basis so feel free to apply after the deadline for the next cycle.
Email *
Company Name *
Company Links (website, social media, LinkedIn, etc.) *
Point of Contact | Name (First, Last) *
Email *
Phone number (USA or China only) *
Business Phone Number *
Business Address *
What industry are you in? *
Brief business description *
Number of employees *
Describe your needs and challenges *
How can we help you? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Berkeley. Report Abuse