Application form for non third-party validated businesses Name of Organization Brand Name (if different from organization name) Year of Inception Address Postal Code Name of Primary Contact Primary Contact’s email Primary Contact Phone Number Organization website (include http://) Business Categories - Add new category below if desired Anti-racism Education and Training Apparel Architectural Services Audio Visual Supplies Audio Visual Technical Support Auto Detailing Brand Strategy Car Rentals Carpentry Catering / Food Services Catering, Cleaning and dehydrated soups Courier Customer Services Consulting: Process Improvement, Process Design, Business Process Reengineering, Service Review, Process Mapping, Facilitation, Retreats Digital Marketing Branding and Graphic Design Digital Media Services Electrician Energy Efficiency General Contractor Gifts Information Technology and Services Procurement Interpretation and Translation Services Logistics Marketing Museums and Art Galleries Painting Services Print Services Promotional Products Property Maintenance Safety and Industrial Supply Security Services Staffing Services Stationary Urban Agriculture Web Services Work from Home/Remote Work Optimization -- Parent -- Add New Equity-Deserving Group --- not set --- Indigenous Persons with Disability Social Enterprise Veteran Visible Minority Women Company Description Community & Social Impact By submitting this form, I confirm that the information submitted for this application is accurate and that I must submit the required documentation and my business ownership documentation to Brent Brodie bbrodie@yorku.ca in order for my application to be assessed.