Add Us to the Entrepreneurship Database!

1. Please enter your name. *

First Name	Last Name

2. Organization Name?

3. Contact Information (Best Contact for entrepreneur looking for more information about the organization or business).

Address 1
Address 2
City	State	Zip

4. Title of Contact?

5. What is your email address? *

6. What is your work phone number?

7. About - Overview of the Organization, Programs or Services.

8. Website address.

9. Business Stage (if applicable- check all that apply):

Inspire	Plan	Launch	Sustain	Grow	Exit

10. Support Type (if applicable- check all that apply):

	Personal- Mentors, networking groups, professional associations, psychological support providers, family members and friends.
	Business- Training programs, accelerators, incubators, and technical assistance providers.
	Environment- Those who design and/or manage the regulatory framework, the infrastructure, the physical space, and culture.
	Financial- Those providing the capital, such as banks, investors, micro-finance, and venture capital.

11. If business, are there training/course(s)/workshops offered? Provide name of course(s) and include information on price, duration, qualifications (previous classes, revenue, etc.).

12. Other services/opportunities (office hours, workshops, conferences, etc).

13. Entity Type (if applicable- check all that apply):

Sole Proprietor	LLC	C Corporation	S Corporation	Non-Profit	Worker Cooperative

14. Main Category of Stakeholder (if applicable- check all that apply):

Educational Institution	Service Provider	Investor	Government	Lender	Association	Foundation

15. Sub-Category (if applicable- check all that apply):

	University, Community College
	Training, Marketing, Legal, Financial
	Angel ( $10k — $250k)
	Seed ($50k — $1.5M)
	VC ($3M — $15M)
	Private Equity
	City
	County
	State
	Federal
	Chamber of Commerce
	Membership Org

16. Geographic Location Served (if applicable- check all that apply):

East Bay	SF	South Bay	Bay Area	National	Global

17. Oakland focus?

Yes	No

18. Target Business Size (if applicable- check all that apply):

Small	Mid	High	All

19. Primarily Serves (if applicable- check all that apply):

Individuals	Businesses	Organizations

20. Explicit Diversity Emphasis?

Yes	No

21. Languages offered? (if applicable- check all that apply):

English	Spanish	Mandarin	Arabic

22. Population Restriction (Veteran Status, Age, Racial Background, Disability, Income, Geographic). Please specify any details about any of the categories:

23. Businesses this entity helps have the following product types:

Services	Physical Products	Software	Hardware

24. Industry/ Sector Focus (if applicable- check all that apply):

Food	Technology	Arts/ Creative	Fitness	Health	Enternainment	Consulting	Education

25. Other types of projects or initiatives:

26. Fees for services (please specify):

27. System for managing client data (Example: Salesforce):

28. Meeting scheduling tool? (Calendly, etc.):

29. Please fill your social media links and title what it is for:

30. Any additional details that would be helpful for entrepreneurs to know about your organization or business? Include in this text any information that was not applicable in past questions.