{"id":7972,"date":"2022-04-05T20:01:57","date_gmt":"2022-04-06T01:01:57","guid":{"rendered":"https:\/\/strategicexdev.wpengine.com\/?page_id=7972"},"modified":"2026-02-10T09:15:14","modified_gmt":"2026-02-10T15:15:14","slug":"join-il-mbda","status":"publish","type":"page","link":"https:\/\/strategicexceptions.com\/es\/se-business-service-center\/join-il-mbda\/","title":{"rendered":"Convi\u00e9rtase en un cliente"},"content":{"rendered":"\n<h1>\n\t\t\tJoin the Strategic Exceptions Business Service Center\t<\/h1>\n<h3>\n\t\t\tAccess strategic business consulting, capital, and new markets.\t<\/h3>\n\t<p>Thank you for your interest in becoming a client of the SEBSC. Becoming a client is free, and accessing programs and services is easy!<\/p>\n<p>Please complete and submit the client intake form below. Following your submission, you will be provided with next steps on how we can best assist you.<\/p>\n<p>If you have any questions, please email us at info@strategicexceptions.com.<\/p>\n<p>Thank you and we look forward to connecting with you!<\/p>\n<h3>\n\t\t\tClient Intake Form\t<\/h3>\n\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">SEBSC Client Intake Form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/es\/wp-json\/wp\/v2\/pages\/7972' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is your full name?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_5'>\n                            \n                            <span id='input_5_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_5_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_5_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_5_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_5_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_6\" ><label class='gfield_label gform-field-label' for='input_5_6'>What is your email address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_5_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_7\" ><label class='gfield_label gform-field-label' for='input_5_7'>What is your phone number?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_5_7' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_8\" ><label class='gfield_label gform-field-label' for='input_5_8'>What is the name of your business?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_20\" ><label class='gfield_label gform-field-label' for='input_5_20'>Do you have a business website?<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_20' id='input_5_20' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_5_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_36\" ><label class='gfield_label gform-field-label' for='input_5_36'>Do you business a have a catalog?<\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_5_36' class='large gfield_select'     aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='' ><\/option><\/select><\/div><\/div><fieldset id=\"field_5_9\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_9\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is your business address?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_9' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_9_1_container' >\n                                        <input type='text' name='input_9.1' id='input_5_9_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_9_1' id='input_5_9_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_9_2_container' >\n                                        <input type='text' name='input_9.2' id='input_5_9_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_9_2' id='input_5_9_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_9_3_container' >\n                                    <input type='text' name='input_9.3' id='input_5_9_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_9_3' id='input_5_9_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_9_4_container' >\n                                        <select name='input_9.4' id='input_5_9_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' selected='selected'>Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_5_9_4' id='input_5_9_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_9_5_container' >\n                                    <input type='text' name='input_9.5' id='input_5_9_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_9_5' id='input_5_9_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_5_9_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_42\" ><label class='gfield_label gform-field-label' for='input_5_42'>County<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_5_42' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_13\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_13\" ><label class='gfield_label gform-field-label' for='input_5_13'>In which year did you start your business?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_13' id='input_5_13' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_27\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_27\" ><label class='gfield_label gform-field-label' for='input_5_27'>What is your annual revenue last year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_5_27' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Below 50K' >Below 50K<\/option><option value='50-250K' >50-250K<\/option><option value='Above 250K' >Above 250K<\/option><\/select><\/div><\/div><div id=\"field_5_22\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_22\" ><label class='gfield_label gform-field-label' for='input_5_22'>State your actual annual revenue last year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_22' id='input_5_22' type='text' step='any'   value='' class='large'    placeholder='50000' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_23\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_23\" ><label class='gfield_label gform-field-label' for='gform_browse_button_5_23'>Please submit proof of your annual revenue for last year (W-2, Tax Return, etc.)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_23' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_23&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_23&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_23&quot;,&quot;filelist&quot;:&quot;gform_preview_5_23&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/strategicexceptions.com\\\/?gf_page=4bccfb54f85687d&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/strategicexceptions.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/strategicexceptions.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:23},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_5_23&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_23' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_23' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_23\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_23'>Max. file size: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_23'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_5_23' class='ginput_preview_list'><\/div><\/div><div id=\"field_5_39\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_39\" ><label class='gfield_label gform-field-label' for='input_5_39'>Your Business Industry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_5_39' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Construction' >Construction<\/option><option value='Telecommunications' >Telecommunications<\/option><option value='Healthcare' >Healthcare<\/option><option value='Education' >Education<\/option><option value='Energy' >Energy<\/option><option value='Transportation' >Transportation<\/option><option value='Entertainment' >Entertainment<\/option><option value='Chemical Manufacturing' >Chemical Manufacturing<\/option><option value='Mining' >Mining<\/option><option value='Hospitality Industry' >Hospitality Industry<\/option><option value='Utilities' >Utilities<\/option><option value='Manufacturing' >Manufacturing<\/option><option value='Food and Beverage' >Food and Beverage<\/option><option value='Financial activities' >Financial activities<\/option><option value='Finance and Insurance' >Finance and Insurance<\/option><option value='Industrial Electronics' >Industrial Electronics<\/option><option value='Aerospace' >Aerospace<\/option><option value='Pharmaceutical' >Pharmaceutical<\/option><option value='Information' >Information<\/option><option value='Healthcare Administrative Service' >Healthcare Administrative Service<\/option><option value='Metal Fabrication' >Metal Fabrication<\/option><option value='Industry not specified' >Industry not specified<\/option><\/select><\/div><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_18\" ><label class='gfield_label gform-field-label' for='input_5_18'>What is your 6-digit NAICS code?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_5_18' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_5_18\" \/><\/div><div class='gfield_description' id='gfield_description_5_18'>For help finding your code, <a href=\"https:\/\/www.naics.com\/search\/\" target=\"_blank\" rel=\"noopener nofollow\">visit the NAICS website<\/a>.<\/div><\/div><fieldset id=\"field_5_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_37\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How is your Business Classified?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_5_37'><div class='gchoice gchoice_5_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='Veteran Owned'  id='choice_5_37_1'   aria-describedby=\"gfield_description_5_37\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_37_1' id='label_5_37_1' class='gform-field-label gform-field-label--type-inline'>Veteran Owned<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='Woman Owned'  id='choice_5_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_37_2' id='label_5_37_2' class='gform-field-label gform-field-label--type-inline'>Woman Owned<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_37_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.3' type='checkbox'  value='Disadvantaged'  id='choice_5_37_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_37_3' id='label_5_37_3' class='gform-field-label gform-field-label--type-inline'>Disadvantaged<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_37_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.4' type='checkbox'  value='B2B'  id='choice_5_37_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_37_4' id='label_5_37_4' class='gform-field-label gform-field-label--type-inline'>B2B<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_37_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.5' type='checkbox'  value='B2C'  id='choice_5_37_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_37_5' id='label_5_37_5' class='gform-field-label gform-field-label--type-inline'>B2C<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_37_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.6' type='checkbox'  value='N\/A'  id='choice_5_37_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_37_6' id='label_5_37_6' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t\t\t\t\t<\/div><button type=\"button\" id=\"button_37_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><div class='gfield_description' id='gfield_description_5_37'>Select All Fields That Apply to your business<\/div><\/fieldset><fieldset id=\"field_5_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_19\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What is your ethnicity?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_19'><div class='gchoice gchoice_5_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='African-American'  id='choice_5_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_1' id='label_5_19_1' class='gform-field-label gform-field-label--type-inline'>African-American<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Hispanic-American'  id='choice_5_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_2' id='label_5_19_2' class='gform-field-label gform-field-label--type-inline'>Hispanic-American<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='American Asian and Pacific Islander'  id='choice_5_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_3' id='label_5_19_3' class='gform-field-label gform-field-label--type-inline'>American Asian and Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Native American (including Alaska Natives, Alaska Native Corporations and Tribal entities)'  id='choice_5_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_4' id='label_5_19_4' class='gform-field-label gform-field-label--type-inline'>Native American (including Alaska Natives, Alaska Native Corporations and Tribal entities)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_19_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.5' type='checkbox'  value='Asian Indian American'  id='choice_5_19_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_5' id='label_5_19_5' class='gform-field-label gform-field-label--type-inline'>Asian Indian American<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_19_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.6' type='checkbox'  value='Hasidic Jewish American'  id='choice_5_19_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_6' id='label_5_19_6' class='gform-field-label gform-field-label--type-inline'>Hasidic Jewish American<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_19_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.7' type='checkbox'  value='Other'  id='choice_5_19_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_19_7' id='label_5_19_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_21\" ><legend class='gfield_label gform-field-label' >How did you hear about us?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_21'>\n\t\t\t<div class='gchoice gchoice_5_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Facebook'  id='choice_5_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_0' id='label_5_21_0' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Instagram'  id='choice_5_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_1' id='label_5_21_1' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='LinkedIn'  id='choice_5_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_2' id='label_5_21_2' class='gform-field-label gform-field-label--type-inline'>LinkedIn<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Google'  id='choice_5_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_3' id='label_5_21_3' class='gform-field-label gform-field-label--type-inline'>Google<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_21_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='gf_other_choice'  id='choice_5_21_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_4' id='label_5_21_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_5_21_other' class='gchoice_other_control' name='input_21_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_30\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  data-js-reload=\"field_5_30\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >In order to help bring value to your business, take a moment to let us know the programs and training that you would be interested in receiving from IL-MBDA. Aside from capital and funding, what are the top 4 areas you would like assistance with?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><span class='gfield_choice_limit_message gfield_description' id='gfield_choice_limit_message_5_30'>Select up to <strong>4<\/strong> choices.<\/span><div class='gfield_checkbox ' id='input_5_30'><div class='gchoice gchoice_5_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Back Office Supports'  id='choice_5_30_1'   aria-describedby=\"gfield_choice_limit_message_5_30\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_1' id='label_5_30_1' class='gform-field-label gform-field-label--type-inline'>Back Office Supports<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.2' type='checkbox'  value='Staffing'  id='choice_5_30_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_2' id='label_5_30_2' class='gform-field-label gform-field-label--type-inline'>Staffing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.3' type='checkbox'  value='Exporting'  id='choice_5_30_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_3' id='label_5_30_3' class='gform-field-label gform-field-label--type-inline'>Exporting<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.4' type='checkbox'  value='Grant Writing'  id='choice_5_30_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_4' id='label_5_30_4' class='gform-field-label gform-field-label--type-inline'>Grant Writing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.5' type='checkbox'  value='Certification'  id='choice_5_30_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_5' id='label_5_30_5' class='gform-field-label gform-field-label--type-inline'>Certification<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.6' type='checkbox'  value='Leasing Agreements'  id='choice_5_30_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_6' id='label_5_30_6' class='gform-field-label gform-field-label--type-inline'>Leasing Agreements<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.7' type='checkbox'  value='Business Plan Development'  id='choice_5_30_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_7' id='label_5_30_7' class='gform-field-label gform-field-label--type-inline'>Business Plan Development<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.8' type='checkbox'  value='Financial Documents'  id='choice_5_30_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_8' id='label_5_30_8' class='gform-field-label gform-field-label--type-inline'>Financial Documents<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.9' type='checkbox'  value='Capability Statement'  id='choice_5_30_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_9' id='label_5_30_9' class='gform-field-label gform-field-label--type-inline'>Capability Statement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.11' type='checkbox'  value='E-Commerce Sales'  id='choice_5_30_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_11' id='label_5_30_11' class='gform-field-label gform-field-label--type-inline'>E-Commerce Sales<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.12' type='checkbox'  value='Marketing \/ Visibility'  id='choice_5_30_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_12' id='label_5_30_12' class='gform-field-label gform-field-label--type-inline'>Marketing \/ Visibility<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.13' type='checkbox'  value='Web development \/ Digital Marketing'  id='choice_5_30_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_13' id='label_5_30_13' class='gform-field-label gform-field-label--type-inline'>Web development \/ Digital Marketing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_30_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.14' type='checkbox'  value='AI for Business'  id='choice_5_30_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_30_14' id='label_5_30_14' class='gform-field-label gform-field-label--type-inline'>AI for Business<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_12\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_12'>What was your annual revenue last year old?<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_5_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_16\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_16\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_16.1' id='input_5_16_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_5_16\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_5_16_1' >By hitting the submit button, you agree to our terms and conditions.<\/label><input type='hidden' name='input_16.2' value='By hitting the submit button, you agree to our terms and conditions.' class='gform_hidden' \/><input type='hidden' name='input_16.3' value='14' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_5_16' tabindex='0'>View the SEBSC's <a href=\"\/terms-and-conditions\/\" target=\"_blank\">Terms and Conditions<\/a><\/div><\/fieldset><div id=\"field_5_38\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_38\" ><label class='gfield_label gform-field-label' for='input_5_38'>Untitled<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_5_38' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_43\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_43\" ><label class='gfield_label gform-field-label' for='input_5_43'>Phone<\/label><div class='ginput_container'><input name='input_43' id='input_5_43' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_5_43'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' 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