Apply - Neighborhood Network Partner - Neighborhood Progress Fund

Let's get started with your essential information.

Name(Required)

First Name Last Name

Email(Required)

Phone Number

Is this a mobile number?

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Best Contact Method

Phone

Text

Email

Years of Professional Experience

LinkedIn Profile

Now tell us about your business.

Business Legal Name(Required)

Doing Business As (If Applicable)

Date of Legal Formation(Required)

Business Address

Street City State ZIP Code

Website

Please provide a brief description of your business and the service(s) you provide:

Type of Legal Formation(Required)

What geographic areas do you service?

Are you willing to reduce your rates to assist our clients?

Yes

No

The Neighborhood Network program helps entrepreneurs receive the professional service(s) they need at price they can afford.

Please explain why you are unable to reduce your rates.

Thanks for your partnership.

How did you hear about the Neighborhood Network program?

Would you be willing to refer a colleague to our program?

Yes

No

Please enter your the name and email address for each colleague you would like to refer.

Include one name and email address separated by a comma per line

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