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The Diversity Marketplace Application Form
Welcome to The Diversity Marketplace -
a free online directory for Female Nova Scotian owned businesses (50% or more!) who are
BIPOC, 2SLGBTQA+, and/or people with a
Disability(ies).
Please fill in the following form with as much information as possible. Applications will be reviewed before being posted to the Directory, and we may be in contact if there are elements missing from your application. You are able to edit this form once you've submitted it. If you are a Google User, this form will auto-save for 30 days. If you require assistance filling out this form, please contact Colette Robicheau at
colette@organizeanything.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I confirm all three of the following criteria are true:
*
I am BIPOC, 2SLGBTSQIA+, or a person with a Disability(ies)
My business is based in Nova Scotia
My business is 50%+ Female Owned
Required
Business Information
This section is to collect contact information. All questions in this category are required.
First Name
*
Your answer
Last Name
Your answer
Company Name
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Address Line 1
*
Your answer
Address Line 2
*
Your answer
City/Town
*
Your answer
Postal Code
*
Your answer
What type of Business do you run?
*
Beauty
Fashion
Food & Beverage
Handcrafts
Home Decor
Jewellery & Accessories
Visual Art
Books
Business & Professional Services
Arts, Culture, Entertainment
Real Estate/Construction
Travel & Tourism
Health & Wellness
Other:
Required
Business and/or Product Description
*
At least 100 words for website preview.
Your answer
Website and Social Media
Please fill out as much detail as possible. We require at least one link.
Website Address (Business)
Your answer
Facebook Page (Business)
Your answer
Instagram Account (Business)
Your answer
Etsy Page (Business)
Your answer
Twitter (Business)
Your answer
Other Business Online Presence
Your answer
Self-Identification
This data will determine if we have under-represented groups.
How Do You Identify?
Black/African Nova Scotian/African Canadian
Female
Indigenous
LGBTQ2S+
Newcomer
Person of Colour
Person with Disability(ies)
Racialized Visible
Prefer not to say
Send me a copy of my responses.
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