Applicant Contact Information
What are your preferred pronouns?*
Please list a secondary point of contact we can reach out to if we are unable to contact you.
Name the business or organization is doing business as (DBA)*
Legal name of the business or organization*
Employer Identification Number (EIN) or Tax Identification Number (TIN)*
City of Austin Vendor Number*
To submit an application for the Community Navigator solicitation, your business or organization must be registered as a City of Austin vendor or be in the process of becoming a vendor. To learn how to register as a vendor with the City, please visit this website before continuing this application:
https://austintexas.gov/financeonline/account_services/registration/registration_user.cfm
If you have already begun registration but do not yet have a vendor number, please enter "in-progress" in the field above.
Council District*
Mailing Address (if different from above)
Mailing Address Suite or Unit
Additional Company Details
What is your business or organization structure?*
If "Other", please list here.
Please identify, from the options below, your business' or organization's primary industry (where majority of revenues are generated).*
What year did your company or organization begin operations?*
How many permanent employees (full time or part time) are on your payroll?*
How many contract or seasonal employees did you hire last year?*
How many volunteers support your business or organization?*
The following questions help the Economic Development Department assess the diversity of the business or organization. Please list the percent of control held by members of each demographic group. If the percent of control is equal among members of each group, divide one (1) by the total number of owners/board members to identify each members' percent of control.
Example:
Peanut Butter Extravaganza has three (3) owners in the company. Two (2) owners identify as Asian and one (1) identifies as White. Peanut Butter Extravaganza will enter 67 in the box under Asian and 33 in the box under White. This means 67% of the company is controlled by owners who identify as Asian and 33% is controlled by the owner who identifies as White.
Percent of Control by Race or Ethnicity of Owners/Board Members
Black or African American (%)*
Middle Eastern, Arab or North African (%)*
Native American or Alaska Native (%)*
Native Hawaiian or Other Pacific Islander (%)*
Multi Race or Ethnicity (%)*
Race or Ethnicity Not Listed (%)*
Prefer not to answer (%)*
Percent of Control by Gender of Owners/Board Members
Prefer not to answer gender (%)*
Percent of Control by Other Ownership or Board Demographics
Member/s of the Disability Community (%)*
For the purpose of this question, family, doctors, therapists, teachers, counselors, and other service providers are not considered part of the disability community unless they have disabilities themselves.
The letters LGBTQIA refer to lesbian, gay, bisexual, transgender, queer, intersex, and asexual.
Request for Application Details
Task Categories
Please select the task categories for which you are applying.
Upload Application Documents
Please refer to the Request for Application Submission Requirements to prepare your response. Upload attachments as PDF or JPG file formats. File size can be no larger than 10 MB.
By hitting Submit, I agree to the following:
I understand that my information and documentation submitted in response to this Request for Applications are subject to the provisions of the Texas Public Information Act. As a result, this information may be released to the public in accordance with Chapter 552 of the Texas Government Code. I also understand that the City of Austin will use the contact information provided in my application to notify me if the City receives a public information request for information related to this solicitation, and that I will have the opportunity to object and respond explaining why my information should be considered confidential.
I attest that all the information provided in this application is true and accurate as of the time of submission. I acknowledge that providing false information subjects me to civil and criminal action. I further attest that I will provide documentation to substantiate the accuracy of this application if requested by City representatives for purposes related to this solicitation.