This intake form is required for us to take you on as a client and helps us understand how to best support your business, and to tailor our services to your needs.

In the space below, please describe the type of support or services you’re seeking.

Please fill in the contact info for your business.

If you are considering a business and don't yet have a business name, type 'no name yet' in the Company Name field.

Please answer these questions with all business owners in mind - for example, whether your business is female-owned, veteran-owned, etc.

This info is necessary to comply with our grants, so we can continue providing services at no or low cost.

Year business was started - fill in, or type n/a if you are not yet in business.

Startup means you are considering a business or it's less than 1 year old.

Total number of employees - fill in, or type n/a if you are not yet in business.

EIN Number: fill in, or type n/a if you are not yet in business.

NAICS code describes your primary industry - look yours up here: https://www.census.gov/naics/ Type n/a if you are not yet in business.