Propeller + City of New Orleans : CERTIFEST
First Name
Last Name
Email
Phone Number
What is your Company Name:
Do you have up to date financials
(ex. balance sheet, profit-loss, bookkeeping)
?
Yes
No
I need assistance with my financials
Do you currently have your certifications (DOTD, City of New Orleans, WBE, DBE) ?
Yes
No
Are you interested in learning more about Propeller's equitable procurement intiatives?
Yes
No
I have already attended previous propeller programming
Venture Demographic Info
With which racial or ethnic group(s) do they identify? (Hold CTRL Key for PC and Command Key for Mac to select more than one)
Please select...
American Indian or Alaska Native
Asian
Black or African American
Hispanic, Latinx, or Spanish origin
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
I prefer not to respond
Another race or identity not listed here
If other race or ethnicity, feel free to specify:
What is their gender identity?
Please select...
Woman
Man
Non-binary or genderqueer
They prefer not to say
They prefer to self-describe
If they prefer to self-describe their gender, feel free to specify:
Are you a native New Orleanian?
Please select...
Yes
No