Business Counseling Request Form

Name (required)

Street (required)

City (required)

Zip (required)

Phone (required)

FAX

Email (required)

May we use your email address to send you information about library programs and services?

YesNo

Preferred Counseling Assistance from (select one)

Akron SCOREOhio PTAC - Procurement Technical Assistance CenterOhio SBDC – Small Business Development Center

Location

Hudson LibraryAkron SCORE OfficeOSBDC Akron OfficeOhio U. PTAC

Counseling Assistance time preference (you will be contacted to schedule a session in 3-4 days)

Day Of Week

Time

Nature of assistance needed:

Business start-upAccounting/BudgetingBusiness planMarketing/SalesFinancingFranchisingBusiness ManagementBuy/Sell businessHuman resourcesInternationalCustomer serviceOther

How did you hear about the program? (check all that apply)

Word of mouthLibraryChamber of CommerceBankInternetNewspaperSBARadio

Currently in Business?

YesNo

Home-based Business?

YesNo

Type of business your are in or seeking assistance?