Ascend NY Inquiry Form

Name *

First Name

Last Name

Phone *

(###)

###

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Is your business located in New York City? *

Yes

No

Location *

Manhattan

Bronx

Queens

Brooklyn

Staten Island

Would you describe yourself as an entrepreneur-of-color (Black, Latino, Asian-American, and/or Native American)? *

Yes

No

Which of these best describe your business? *

Nonprofit

Business to Business

Business to Consumer

Which most closely describes the business stage of your companay? *

Idea (company not yet formed)

Start-up (company formed and in development stage)

Funded (company has received outside funding)

Pre-revenue (company has developed a product)

Revenue (company is receiving revenue from customers)

Growth (company has showed measurable increases in customers and/or revenue)

Scaling (company is expanding operations)

Are your annual gross revenues over $200K? *

Yes

No