Potential Partner Inquiry

First Name *

Last Name *

Your Professional Title/Position *

Would you like a tour of GRCCT?

Personal Email

Work Email *

Personal Phone Number

Work Phone Number

Business/Company/Organization Information

Name of Business/Organization/Company *

Business Type *

Organization's Street Address *

City *

State *

County *

Zip Code *

Phone Number

Email Address

Website:

NAICS Code if Known

TIN or EIN If Applicable

Year business was established *

What is the business' approximate annual revenue *

Business Location Status *

Number of Full Time Employees *

Minority-Owned or Controlled *

Women-Owned or Controlled *

Veteran-Owned or Controlled *

Disabled-Owned or Controlled *

What partnership level are you interested in: *

Who referred you to or how did you hear about the Grand Rapids Center for Community Transformation (GRCCT)? *

Was your business disproportionately impacted by COVID? *

What types of services are you in need of at this time ? Select all that apply. *

Are you currently working with any other entrepreneur support organizations? *

If so, which one(s)?

Comment box - Is there anything else you'd like us to know.