JVPP Informational Survey 2024 Question Title * 1. Please provide your first and last name. Question Title * 2. Please provide the name of your entity/organization, if applicable. Question Title * 3. Please provide the address of your entity/organization, if applicable. Question Title * 4. Please provide your telephone number, mobile number, and email address. Work/Home number Mobile number Email address Question Title * 5. What is your preferred method of contact? Work/Home number Mobile number Email address Written mail Question Title * 6. Select which group(s) you would like your information provided to. Please select all that apply. Adult-Use Licensees Potential Adult-Use Licensees Those Seeking to Become Social Equity Participants Anyone That Requests a Listing of Social Equity Participants Interested in Pursuing JVPP Opportunities Question Title * 7. Please select the county that you are most interested in working or operating in (you can select up to five (5) counties)? Allegan Arenac Barry Bay Berrien Branch Calhoun Cass Eaton Emmet Genesee Gration Hillsdale Ingham Ionia Isabella Jackson Kalamazoo Kent Lapeer Lenawee Macomb Mecosta Monroe Montcalm Muskegon Newaygo Oakland Ogemaw Ottawa Roscommon Saginaw Shiawassee St. Clair St.Joseph Tuscola Van Buren Washtenaw Wayne Wexford Question Title * 8. Please click here to download the JVPP authorization form. Once downloaded, please fill it out and email it to cra-socialequity@michigan.gov. Once you have emailed the authorization form, please click YES to continue. Yes No Question Title * 9. Which of the following JVPP partnerships interest you? Please select all that apply. Joint Business Ventures Mentorships Incubator Programs Employment Training Funding Done