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Sawubona Africentric Circle of Support

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* 1. Please provide the full legal name of your business:

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* 2. Please enter business address:

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* 3. Please enter your website/social media handles:

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* 4. Please provide a brief description of your business/organization and the services/products you offer:

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* 5. How does your business specifically support Black caregivers of children or adults with disabilities ? (e.g., special programs, discounts, resources, partnerships):

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* 6. Please describe any partnerships or collaborations with organizations that support Black caregivers of children or adults with disabilities:

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* 7. What inspired your business to support Black caregivers of people living with disabilities?

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* 8. Please describe your business’ commitment to, diversity, equity, and inclusion of people with disabilities:

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* 9. Please provide any relevant statistics or examples that demonstrate your commitment to supporting Black caregivers and the broader Black community:

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* 10. Does your business/organization meet the criteria as a B3 organization (Black-led, Black-serving, Black-focused)?

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