Renew Nashville Program Enrollment

We are collecting this demographic information to track program engagement for Metro City Council. Answers will not affect your engagement in the program.

First name*

Last name*

Email*

Phone number*

Home Street Address

City*

Home Postal Code*

What is your date of birth?*

Year/Month/Day

What is your gender?*

What is your ethnicity?*

Have you ever served as part of the United States Armed Forces?*

What is the legal name of your company/concept? (If you don't have a name yet, please put N/A)*

What is the legal structure of your business? (If you haven't formalized yet, put N/A)

Business address (if you don't have an office, list your home address)*

Business postal code (if you don't have an office, list your home postal code)

Business City

Please give us a detailed overview of your business. What does your business do?

What industry are you in?

Please describe in detail the specific challenges you're facing so that we can match you to the appropriate advisors and resources

Tell us anything else you think we should know in order to give us a better understanding of your business and its current condition.

Participation in this program is free as Nashville’s Metropolitan Government is paying us to provide it for you. If accepted into the program, will you fill out a five-minute survey twice a month that includes information on your business such as recent revenue and employee counts? We are required to aggregate this information and report it to Metro to receive funding for the program.

I agree to participate in this survey twice a month*