Access Tampa Bay Application

Primary Contact

Title

Email

Phone

Cell Phone

Birth Date

Company/Organization

Organization Website

Describe your organization's products and/or services.

Number of employees in Tampa Bay

Number of employees company-wide

How did you hear about the program?

Pursuant to the American with Disabilities Act, do you require any special accommodations?

Organization Headquarter location

Do you have a business plan in place? If not, would you like the Chamber’s assistance in creating one?

What is your greatest strength in your business in the Tampa Bay area?

What is your annual gross revenue?

What are your short/long term goals?

How do you believe the program can help impact change within your organization?

What do you and your organization’s team members hope to gain from membership?

Have you ever been involved with the Tampa Bay Chamber - either attending an event or working with Chamber Board Members or Staff?

What do you plan to contribute as a participant of the program?

Why should you be considered for a recipient of a Enterprise membership?

What are issue areas of interest for you and your organization’s team? Please select all that apply.

Other Areas of Interest (Optional)

List any impactful roles that you have had in the Tampa Bay area, present or past. Include church, children’s school, community organizations or industry organizations.

Access Tampa Bay Application

Access Tampa Bay Eligibility

Program Engagement and Involvement