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About Us
Impact and Insights
2023 Impact Report
State of Black Business Report
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Business Boost Resource Hub
Partnership
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About Us
Impact and Insights
2023 Impact Report
State of Black Business Report
Programs & Resources
Free Small Business Programs
Business Boost Resource Hub
Partnership
Donate
Contact
Event Registration
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Organization or Business Name
(Required)
Title/Role
(Required)
How are you attending this event?
(Required)
Boomin U Alumni Business Owner
Small Business Owner
Community Partner
Funder/Bank Representative
Cummins Representative
MAYA Representative
Boomin University Team Member
Other
If you chose other, please specify
(Required)
Business Owner
What Boomin U programs have you participated in? Please choose all that apply.
(Required)
Boomin to the Bank
Boomin Marketing
Ready to Boom
Boomin Beginnings
Have you received a Kiva loan?
(Required)
Yes
No
Are you currently interested in obtain any capital for your business?
(Required)
Yes
No
Maybe
Community Partner or Funder
Do you have resources you'd like to share with attendees (funding opportunities, programs, etc.)?
(Required)
Yes
No
If yes, please describe briefly.
(Required)
Would you like a table to display resources during our happy hour fair?
(Required)
Yes
No
Dinner
We are hosting a VIP lunch at 1pm exclusively for Boomin U Alumni, Cummins Representative and MAYA Representatives.
Will you attend lunch?
(Required)
Yes
No
Please indicate any dietary restrictions.
Vegetarian
Vegan
Gluten-free
No pork
No shellfish
Other (please specify)
If other, please specify.
(Required)
Media Release
Boomin University and Cummins will be capturing photos and video during the event. These images and recordings may be used in future marketing materials, reports, websites, social media, and promotional content for Boomin University and Cummins. By attending this event, you acknowledge and agree to the use of your image and/or voice in such media. Physical release forms will also be provided at event check-in for your signature.
(Required)
I acknowledge that photography and videography will take place and grant Boomin University and Cummins permission to use images or footage that may include me.
In Partnership With
Event Registration
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Organization or Business Name
(Required)
Title/Role
(Required)
How are you attending this event?
(Required)
Boomin U Alumni Business Owner
Small Business Owner
Community Partner
Funder/Bank Representative
Cummins Representative
MAYA Representative
Boomin University Team Member
Other
If you chose other, please specify
(Required)
Business Owner
What Boomin U programs have you participated in? Please choose all that apply.
(Required)
Boomin to the Bank
Boomin Marketing
Ready to Boom
Boomin Beginnings
Have you received a Kiva loan?
(Required)
Yes
No
Are you currently interested in obtain any capital for your business?
(Required)
Yes
No
Maybe
Community Partner or Funder
Do you have resources you'd like to share with attendees (funding opportunities, programs, etc.)?
(Required)
Yes
No
If yes, please describe briefly.
(Required)
Would you like a table to display resources during our happy hour fair?
(Required)
Yes
No
Dinner
We are hosting a VIP lunch at 1pm exclusively for Boomin U Alumni, Cummins Representative and MAYA Representatives.
Will you attend lunch?
(Required)
Yes
No
Please indicate any dietary restrictions.
Vegetarian
Vegan
Gluten-free
No pork
No shellfish
Other (please specify)
If other, please specify.
(Required)
Media Release
Boomin University and Cummins will be capturing photos and video during the event. These images and recordings may be used in future marketing materials, reports, websites, social media, and promotional content for Boomin University and Cummins. By attending this event, you acknowledge and agree to the use of your image and/or voice in such media. Physical release forms will also be provided at event check-in for your signature.
(Required)
I acknowledge that photography and videography will take place and grant Boomin University and Cummins permission to use images or footage that may include me.
