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?