Black Business Resource Center Enrollment Application
Black Business Owners that want to access the Black Business Resource Center MUST complete this form. Once enrolled, participants will receive instructions and a BBRC agreement. The agreement must be signed to complete the enrollment process.

Please NOTE: You may not access the center unless you are enrolled.
Sign in to Google to save your progress. Learn more
Email *
Name *
Business Name *
Are you a member of the Metro Detroit Black Business Alliance?   *
Are you vaccinated? *
If you are not vaccinated, are you willing to wear a mask at the center? *
How often do you plan to use the center? *
What do you need most from the center? *
Required
Where do you currently conduct business? *
Is there anything else we should know about you and your business and what you're hoping to experience at the Black Business Resource Center?
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