Baltimore BASE Network Economic Recovery Fund Business Services Vendor Directory Questionnaire

Please complete the below questionnaire if your business would like to be listed in the Small Business Economic Recovery Fund - Business Services Vendor Directory. The Directory is intended to be a resource for small businesses that apply for and are awarded American Rescue Plan Act Economic Recovery Fund grants and are looking to hire vendors for marketing, creative services, accounting, legal, human resources, technology, web development, and other types of business services. Completing this survey does not guarantee inclusion in the Directory. If your business is listed in the Directory, it does not guarantee your business will be hired, nor is it a formal endorsement of your business. To be included in the Directory you will be required to provide information on hourly rates for your services, you may be asked to adjust your rates for this program based on Federal funding source rules, and you will need to furnish invoices for services performed using agreed upon rates.

Business Name

Business Address

City

State

Zip Code

Are you Baltimore City based?

Owner/Contact Person Name

Email Address

Phone Number

Web Site Address

Social Media Handle(s)

Year of Business Incorporation

Number of Employees/Contractors

Number of Clients in 2020

Number of Clients in 2021

Select any entrepreneurial support organization(s) from the list below that your business has had any engagement with. Select more than one if you have worked with multiple groups.

Select the type(s) of professional services your business provides to clients. Check all that apply.

Provide a 1-2 sentence description of the specific types of services your firm specializes in from the categories selected above or other expertise you may have.

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If you know your NAICS Code please enter it here. If you do not know it you can look it up at www.naics.com/search or leave this field blank.

Select the size(s) of business you have the most experience working with.

Select the stage(s) of business you have the most experience working with.

Select the structure(s) of business you have the most experience working with.

Select up to 3 industries you have the most experience working with.

If you provide services in languages other than English, list the languages here.

How many new clients/accounts do you estimate you can take on in 2022?

Fewer than 5
5 to 10
More than 10

How do you charge your clients?

If you are selected to participate in the directory, are you willing to negotiate your hourly rates, based on the requirements of Federal funding sources?

Yes
No
Not Sure

Do any of the following describe your business owner(s)? You may select more than one.

Do any of the following genders describe your business owner(s)? You may select more than one.

Do you wish to have your business identified using Gender/Race information selected above? (Example: “Black-Owned” “Woman-Owned”)

Yes (Both Gender and Race)
Gender Only
Race Only
I do not wish to have my business identified using my gender/race information.

Is your business veteran owned?

Is your business in good standing with the State of Maryland? (Visit here for MD State standing: https://egov.maryland.gov/BusinessExpress/EntitySearch)

Yes
No
Not sure

Does your business have any of the following certifications? (Visit here to learn about certifications: https://www.baltimoresourcelink.com/certifications/). Select all that apply.

Provide the business name / contact name / email / and phone number of two Baltimore City clients who can be contacted as references.

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