Skip to Main Content
Do Not Show Again
Help us beat the heat! Set out garbage, recycling, and yard waste carts by 5 a.m.
Durham One Call
Click or call 919-560-1200
Connect & Engage
If you are looking for Inspections Forms, CLICK HERE.
Select a Category
7 Stars Give Campaign
Boards, Committees & Commissions
Budget & Management Services
City Manager's Office
Durham Emergency Communications Center
Economic & Workforce Development
Equity & Inclusion Department
Click Here For Inspections Application Forms
Neighborhood Improvement Services
Office of Public Affairs
Office of the Mayor
Parks & Recreation Department
Public Works Engineering Forms
Public Works Stormwater and GIS Forms
Public Works Street Maintenance Forms
WM CBS Encrypted
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Momentum 360 Application - Fall 2019
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Momentum 360 Program Application
Please fill out this form as completely as possible, and sign and date the bottom of the form. Incomplete or invalid information will not be processed. The deadline to submit an application is October 1, 2019.
PART A: BUSINESS INFORMATION
Business Owner Name
Phone Number - Business
Phone Number - Cell Phone
Are you already in business and being paid for your product or service?
If so, how many years in business?
Business Facebook Page (if applicable)
Provide a brief description of your business. If not yet in business, summarize your new business idea.
PART B: ADDITIONAL INFORMATION
How will Momentum 360 improve your business management. What challenges are you looking to overcome?
Is your annual household income below $60,000?
-- Select One --
Pacific Islander/Native Hawaiian
How did you hear about Momentum 360?
-- Select One --
PART C: AGREEMENT AND SIGNATURE
Applicants must attend 8 weeks (once weekly) of a small business course held at The Small Business Center at Durham Tech in downtown Durham. This is provided free of charge. Each class is 3 hours long, includes light dinner, and will be held on Tuesday evenings 6:30 pm - 9:00 pm in Fall 2019. The assignments are online so you need reliable access to a computer and can expect approximately 3 hours of homework each week. By submitting this form, I am agreeing that, if selected, I am able to attend 100% of these Tuesday night classes.
Type applicant initials above.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
Submit and Print
* indicates a required field
News Release Archive
Pay Water Bill Online
Trash / Recycle
small business resources
Government Websites by
Slideshow Left Arrow
Slideshow Right Arrow