Application for businesses in Puerto Rico impacted by Hurricane Maria
RequiredRequired Question(s)
Required 1.
In order to evaluate your application, please enter the information indicated below.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Industry:
Number of Employees:
Service Offered:

Required 2.

How would you describe the current situation of your business after Hurricanes Irma and/or Maria? 

Closed business in Puerto Rico
Business in Puerto Rico still open
Expanding to Central Florida
Relocating to Central Florida
Opening a new, different business in Florida
None of the above. Please explain
  • Comment:

  • 500 characters left.
Required 3.
Qualifying businesses will be evaluated by Prospera before activating their complimentary membership with the Chamber.  Prospera is an economic development, nonprofit organization specialized in providing bilingual assistance to Hispanic entrepreneurs trying to establish or expand their business. By completing this application, do you authorize Prospera to share your contact and business information with HCCMO?
Yes
No
  • Comment:

  • 500 characters left.
Required 4.
Are you able to provide proof of residence or that you currently have or had a business in Puerto Rico that had to be closed or reduced after Hurricanes Irma/Maria? 
Yes
No
  • Comment:

  • 500 characters left.
Required 5.
Financial information may be required when requesting services with Prospera.  Prospera will maintain your detailed financial information confidential, but will share general information with the HCCMO about your business needs and/or financial stability to be considered for the complimentary HCCMO membership.  Do you allow Prospera to share general information about your business with HCCMO?
Yes
No
  • Comment:

  • 500 characters left.
Required 6.

 

If you agree to the terms listed above, please acknowledge by adding your electronic signature, full name, and date in the space provided below:

The decision to approve the application will be made by HCCMO.  For information about your application status please contact jsalgado@hispanicchamber.net or call 407-428-5870

 


 

350 characters left.