Service Subscription

If you’re interested in any of our services, please fill out our application form. We’ll review your application and get back to you as soon as possible. We look forward to working with you to bring equity and justice to underserved communities.

Make a Service Request

Become an EDA Beneficiary *

EDA Beneficiaries

Total Amount

Apply for Services

First Name *

Middle Name

Last Name *

Contact Number *

Email Address *

Address *

Preferred Method of Contact

Business/Organization Information

Business/Organization Name

Business/Organization Address

Type of Business/Organization

Number of Employees/Volunteers

Website Address (if applicable)

County

Please select the service(s) you are interested in (check all that apply)

Service Requested

Briefly describe why you are seeking EDA's services and how they align with your needs and goals

What specific outcomes or results do you hope to achieve by engaging with EDA?

Please provide any additional information that you believe is relevant to your service request

How did you hear about EDA?

Signature Date

Signature

I hereby declare that the information provided in this application form is true and accurate to the best of my knowledge. I understand that EDA will review my application and may contact me for further information or to schedule a consultation.

Accept/Reject the Declaration *

Yes No

Important Notice

Please note that submitting this application does not guarantee the provision of services. EDA will evaluate each application based on its alignment with our mission, available resources, and the specific needs of the target market. We will contact you to discuss your application and next steps. Thank you for your interest in EDA's services. We look forward to the possibility of working with you to promote equity, economic inclusion, and generational wealth building in underserved communities.