Primary Contact Information

    Is your business, organization or group majority black-owned (more than 51%)?

    * required

    Tell us about your organization.

    What is your mission statement? What are your organization’s beliefs?

    * required

    What is the latest initiative your organization is focused on (if applicable)?

    * required

    How are you currently activating or showing up in communities?

    * required

    What is your organizational structure?

    Who are your key stakeholders?

    How many employees or volunteers do you currently coordinate?

    * required

    What partners are you associated with in business, activation and/or funding?

    * required

    What are your organization’s short and long-term goals?

    * required

    What challenges do you currently face as a business, organization or group?

    * required

    What does success look like to you in a potential partnership with us?

    How can our services help drive your initiatives?

    * required

    What areas of your business are you hoping to expand?

    Please select all that apply from the provided list.

    * required

    LINK TO YOUR WEBSITE OR SOCIAL CHANNELS:

    Website

    Facebook

    Instagram

    Twitter

    LinkedIn

    Optional: Please upload any supplemental materials or information you’d like to share with us. Attachment (.pdf, .ppt, .key, .mov, mp4, .jpeg, .png, .doc, etc.) Size Limit: 25MB

    TERMS & CONDITIONS

    1. Pro bono services to be completed between August 3 - December 31, 2021. Final deliverables may be implemented or utilized by your organization at a later date.
    2. Service will only be provided with henry v’s existing staff and equipment inventory, and will be subject to availability. If external services or equipment are required, henry v will provide an estimate and scope-of-work for these hard costs; henry v will waive all markup on the external purchases.
    3. henry v reserves the right to select or reject any or all submissions.