Culturally Significant Business Recommendation Form

SECTION 1: Event Basics

1. Name of Business

Business Image

2. Location

(City, State)

If a secondary city is influenced, please enter it here.

(City, State)

3. Website or Social Media (optional)

4. Email

SECTION 2: Cultural Significance Category

5. Please select the category that best represents this business's focus area:

Health, Wellness, and Education (Initiatives focused on health, holistic wellness and education)
Economic Opportunity and Equity (Businesses that empower, assemble and/or align with cultural integrity and community values)
Arts, Community, and Heritage (Creative expressions and heritage initiatives that define cultural identity)

SECTION 4: Charitable Giving Details

22. Does the business donate financially to charities or community initiatives?

23. Approximately how much does the business donate annually (in dollars)?

Example: $5,000, $10,000–$20,000, etc.

24. What percentage of annual profits (if known) does this represent? (optional)

Example: 5%, 10% of net profits

25. How often are donations made?

Example: Monthly, Quarterly, Annually, One-time, As-needed

26. Which charities or types of initiatives does the business support financially or donate whether financially or gifting?

List names of charities, types of causes, or examples of past contributions

SECTION 5: Additional comments

Additional comments (if any)

Culture Dash