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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
What county is your business located in?
*
Bell
Bosque
Bowie
Camp
Cass
Collin
Cooke
Coryell
Dallas
Denton
Ellis
Falls
Franklin
Freestone
Hill
Johnson
Limestone
McLennan
Montague
Morris
Navarro
Tarrant
Titus
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
Submit
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