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What is your full name?

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* What is your business name?

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* What is the zip code of your business?

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* What is your email?

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* What is your industry?

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* Have you been certified with the City of Austin? If yes, select your certification(s) below.

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* Have you submitted a bid/proposal to work with the City of Austin in the last 12 months?

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* Have you worked on a City of Austin contract in the last 12 months?

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* If you worked on a City of Austin contract in the last 12 months, what was your role?

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* What type of assistance would help your company succeed? Select all that apply.

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Do you have dietary restrictions? Please select from the list below.

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Optional - What is your language preference?

The questions below are optional – Demographic information is being collected on a voluntary basis. This section is optional and will have no bearing on your participation in City of Austin programs or services.

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Optional - Do you identify as a member of the LGBTQIA+ community? Select one.

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Optional - Do you identify as a member of the disability community?

For this question, family, doctors, therapists, teachers, counselors, and other service providers are not considered part of the disability community unless they are living with disabilities themselves. Select one.

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Optional - Are you a veteran of the United States Armed Services? Select one.

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Optional - What is your primary race or ethnicity? Select one.

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Optional - What is your gender?

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