Small Business/Entrepreneurship Intake Form
The Small Business Program promotes the growth of minority-owned and small disadvantaged businesses by providing business counseling and assistance, access to capital, surviving, prospering, growth, creating jobs, and generating individual and community wealth. As the Small Business program continues to evolve, we are deploying deliberate, innovative, place-based programming and services to entrepreneurs in communities across Middle Tennessee. Our mission is to provide impactful support to women and minority entrepreneurs that wish to create and grow scalable, profitable, and sustainable business ventures.

Complete this form to participate in small business activities at the Urban League of Middle TN.
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Email *
Business Name *
Any alternative business name (DBA - if applicable)
Business Street Address *
City *
State *
Zip Code *
Business Phone Number *
Business Email Address *
Business Website *
Type of Business *
Start Date of Business *
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/
DD
/
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How many owners? *
List names of business owners *
Form of Business *
Is your business registered in Tennessee? *
Do you have an FEIN? *
MWBE Certification Status *
Business Facility *
Business Plan *
Number of full-time employees *
Number of part-time employees *
Income generated by this business is *
Gender *
Ethnicity *
Required
What are some challenges or difficulties you are facing in business? *
What type of training/counseling would help your business grow? *
Have you participated in any small business training programs at Urban League of Middle TN or Nashville Business Incubation Center? Please identify small business programs you have participated in and when. *
Does your business follow any Urban League of Middle TN's social media pages? *
Are you interested about learning more on any of these business topics? *
Required
First Name of Owner Applying *
Last Name of Owner Applying *
Phone Number *
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