First Name *

Last Name *

Personal Email *

Age *

Mobile Phone *

Personal Identification *

Immigration Status *

Sexual Orientation *

Organization Name *

Year Founded *

Names of Business Owners *

Business Email *

Business Phone *

Business Description *

If you chose other service, please specify your industry

Business Category | Industry *

Annual Revenue *

Number of employees including yourself *

Choose All That Apply | My Organization Is *

Social-Enterprise

Non-Profit | Charity

For-Profit

Other

Does your business sell goods or services? *

Goods

Services

Both

Neither

Do you also identify as a Black-Owned Business? (Yes/No) *

As a Black-Owned Business, you are eligible to receive a $525CAD course discount by using the coupon code provided to you. Please select all that apply. I Am: *

Do you have a CRA/GST number? *

Yes

No

Is your business registered? *

Yes

No

If yes, what is your registered business name? *

Do you have a business bank account? *

Yes

No

If yes, which bank? *

Does your business have a Procurement Business Number? *

Yes

No

Do you have a business license? *

Yes

No

Have you bid for a Government contract in the past? *

Yes

No

LinkedIn Profile *

Website *

X/Twitter Handle (Type N/A if Not Applicable) *

Instagram Handle (Type N/A if Not Applicable) *

YouTube (Type N/A if Not Applicable) *

Which cohort are you interested enrolling into? Select all that apply.

January 2025

April 2025

June 2025

September 2025

Would you like to be considered for grant funding through the Black Opportunity Fund? *

Yes

No

Have you received support from any organization in the last 1-4 years? *

Yes

No

Do you understand that as a Black-Owned Business, you are eligible to receive a $525CAD course discount by entering a coupon code at checkout below: *

Yes

No