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Civic Inclusion Challenge Intake Form

  1. Basic Information
  2. Are you a City of Buffalo resident?*
  3. Business Information
  4. Certified M/WBE*
  5. Is it in NYS?*
  6. Is it in City of Buffalo*
  7. Financial Information
  8. How much Income has your business made in the last 6 months?*
  9. How much Income did your business make in 2019?*
  10. Leave This Blank:

  11. This field is not part of the form submission.