ACER Inc Small Business Mutual Aid Support Request Form                                                    (Brooklyn Center/Brooklyn Park, Minnesota)
Please provide information about how your business was impacted by the recent social unrest.

The form is created to share with local small businesses in Brooklyn Center and Brooklyn Park that have been impacted and are needing financial support to rebuild.

Your information will be collected and shared with ACER INC (https://www.facebook.com/ACERFair). ACER Inc will reach out to follow up on mutual aid support funding timeline and next steps.
 

**This effort is led by ACER Inc
Nelima Sitati Munene, Executive Director at African Career Education & Resource, Inc. (ACER, Inc)
Denise Butler, Economic Development Director
Pang Xiong, Small Business Support Assistant, ACER Inc


Contact pxiong@acerinc.com for Questions/Concerns
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Email *
Business Name:   *
Business Address: *
Years in Business: *
*
Do you currently have  business insurance?            (We will find support for you if not) *
How has you business been impacted by the social unrest? *
Financial Support: If you are needing financial support, let us know what amount you are needing support with? *
I still need support with: (check all that applies) *
Required
Type of Business/Service? *
Name of person who completed the form: *
Owner Name *
What is your ethnicity? *
Telephone Number *
Email *
A copy of your responses will be emailed to the address you provided.
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