Date of Birth (Month/Day)
Your Business Name
Business Website (if any)
What is your Business Specialty?
How long have you been in Business? (Months or Years)
How many people do you have working/volunteering in your business?
Have you ever had any other businesses before this one? ---YesNo
Currently, in what area(s) of your business are you struggling with?
How did you hear about Mind Your Black Biz?
50% of your first month's application fee will go to the local African or African-American charity of your choice. And in your name.
Here is a local list of charities you can choose from. Please browse the charities for your selection:
From this list which charity did you select? ---African Education FundAfro American Heritage MuseumBlack Women’s Task ForceCoalition for African American Health & WellnessDonna R. Liggins Recreation CenterDunbar Cultural CenterInto Africa, IncThe Links, IncorporatedNAACPSouthern Arizona Black Chamber of CommerceUnite 4 AfricanUrban LeagueOther
Currently, which organization(s) (i.e, Fraternity/Sorority; House of Worship; Professional/Networking Groups; Volunteer; and/or Online Memberships, etc) do you currently belong to and participate in now?
Once you become a member, we ask that you:
Do you agree to adhere to these two (2) requests? Yes