Request for Services: COVID-19 Disaster Relief

Request for Services: COVID-19 Disaster Relief

Please take time to fill out the information to the best of you abilities about your business. Be as detailed as possible. Thank you, SBDC!
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Business Name
Website Address

Business Address (if no business address use home address) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

What county is your business located in? *
What type of assistance are you seeking? (Check all that apply) *

Access of Capital/Loans Financial Analysis Accounting & Bookkeeping Cash Flow Models Target Marketing Business Planning General Start-Up Legal Structures Licensing & Permits Non-Profit Franchising
Tell us about your business
What is your industry? *
How many years has your business been established?
Describe your business *
Timeline: How soon are you looking to for support? *

Less than 30 days 1 to 3 months 3 to 6 months 6 to 12 months 1 year + Unknown
Financing Your Business
How much is needed to finance your business? *

$0-$500,000 $500,001-$1,000,000 $1,000,001-$1,500,000 $1,500,001-$2,000,000 More than $2,000,000 Unknown
Do you have of other business loans? (click all that apply) *

NO YES
If YES, please explain.
Have you recently been rejected for other business loans?

NO YES
How much of your initial investment do you have? *
Credit Score *

750 or above 700-749 650-699 600-649 550-599 500-549 Below 500 I don't know.
Other Assistance
Have you received business assistance from any of the following? (click all that apply) *

Government Contracting SBDC SCORE BAC Consultant CDC None
Please provide details.
How did you hear about the Tarrant SBDC? *

Bank Local Chamber Client/Word of Mouth Internet Small Business Administration SBDC Training/Event Social Media/Blog Post College/University Government Agency Local Economic Development America's Small Business Development Center SCORE Community Development Corporation (CDC) Tarrant Small Business Development Center
Should be Empty:

Request for Services: COVID-19 Disaster Relief

Tell us about your business

Financing Your Business

Other Assistance