Legacy Small Business Program

Legacy Small Business Program Application

Name of Business*

Social Media

Age of Establishment*

(MM/YYYY)

Applicant's Name*

First Name

Last Name

Business Email*

Applicant's Title*

Business Phone Number*

Applicant's Phone Number*

Business Owner(s)*

Applicant's Email*

Are you the original owner? *

Yes No

Are you located in the original location?*

Yes No

Are there multiple locations?*

Yes No

Current Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Legacy Small Business Program Application

Questions:

1. Provide a short history of the business from the day it opened in the city; feel free to include relevant dates such as opening.*

2. Describe the ownership history (if not the family-owned or original owner).*

3. Are there any special features of the location in which the business resides worth noting? Is this business associated with any historical features?*

4. Is the business associated with any significant events or people in the neighborhood it resides?*

5. How does this business demonstrate its commitment to the community?*

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to a member of the Mayor's Legacy Business Program, I understand that false or misleading information in my application may result in a disqualification.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date/Time*

Confirmation Page

Please review the information you provided. If accurate, click submit form to submit your information. Thank you!

Name of Business: {$139665729 ‪Name of Business‬}

Social Media: {$139665730 ‪Social Media‬}

Age of Establishment: {$139666116 ‪Age of Establishment‬}

Applicant's Name: {$139666133 ‪Applicant's Name‬}

Applicant's Title: {$139666274 ‪Applicant's Title‬}

Applicant's Phone Number: {$139666311 ‪Applicant's Phone Number‬}

Applicant's Email: {$139666529 ‪Applicant's Email‬}

Business Phone Number: {$139666299 ‪Business Phone Number‬}

Business Email: {$139666271 ‪Business Email‬}

Business Owner(s): {$139666521 ‪Business Owner(s)‬}

Are you the original owner? {$139666553 ‪Are you the original owner? ‬}

Are you located in the original location? {$139666679 ‪Are you located in the original location?‬}

Are there multiple locations? {$139666685 ‪Are there multiple locations?‬}

Current address: {$139666727 ‪Current Address‬}

1. Provide a short history of the business from the day it opened in the city; feel free to include relevant dates such as opening.*
{$139666839 ‪1. Provide a short history of the business from...‬}

2. Describe the ownership history (if not the family-owned or original owner).*
{$139666844 ‪2. Describe the ownership history (if not the...‬}

3. Are there any special features of the location in which the business resides worth noting? Is this business associated with any historical features?*
{$139666843 ‪3. Are there any special features of the...‬}

4. Is the business associated with any significant events or people in the neighborhood it resides?*
{$139666842 ‪4. Is the business associated with any...‬}

5. How does this business demonstrate its commitment to the community?*
{$139666841 ‪5. How does this business demonstrate its...‬}