Business Name*:Business Description*:Requester First Name*: Requestor Last Name*: Preferred Language*:–None–EnglishSpanishOtherPortugueseMandarinCantonese Email*: Requester Phone*: City/State*: Zip Code*: Support Needed (Select all that apply)*:Help with Small Business Grant application?Finance Accounting TaxLegal AssistanceDigital EnablementHR/WorkforceMarketingOperationsOther Grant Options:–None–BizMPowerBoston Relief Fund 3.0 (Not on MVS site)Empower DigitalMGCC Covid Relief 2022 Description*: Race*:–None–American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderPrefer not to discloseWhite Hispanic or Latino: Gender*:–None–FemaleMaleNon-Binary/Third GenderPrefer Not to Say Industry*:–None–ArtsBusiness ServicesConstructionConsultingEducationFinanceFood & BeverageHealth & FitnessHealthcareHospitalityManufacturingNot For ProfitPersonal ServicesRetailTechnologyTransportationOther Number of Employees*: Referring organization/Business Advisor: Business negatively impacted by Covid-19: Veteran-owned business?: Terms & Conditions Agreement*: Privacy Policy Agreement*:
