South Bend - Elkhart Regional Partnership Business Form

Name

First Name Last Name

Company

Email

example@example.com

Phone Number

Area Code Phone Number

Total Number of Employees (FT and PT)

What County is your business headquartered in?

Secretary of State Schellinger and the IEDC will be hosting a series of Statewide conference calls with businesses in various sectors to discuss the State of Indiana’s response to the COVID-19 pandemic, to hear your concerns, and to discuss ideas you may have to help during this difficult time. I am interested in participating in these calls...

Yes No

Our business is in the following sector:

Advanced Manufacturing Aerospace and Defense Life Sciences Information Technology and Cybersecurity Finance, Insurance, Real Estate and Administration Logistics

Please list any business concerns here, so that we can share these with the state and work with the local economic development organization to connect you with all available resources in the short term; and prepare to provide appropriate long term support.

Does your company have any existing supplies on hand that you could make available to aid hospitals (breathing masks, gowns, etc.)?

Yes No

If yes, we could provide supplies such as...

We have EXCESS CAPACITY and are interested in opportunities to fill it.

Yes No

We are interested in pivoting operations to meet the undersupply of critical health/medical equipment necessary. For example, we are thinking about those manufacturers who might have painting/finishing operations and willing to contribute/donate the breathing  masks, etc.

Yes No

If yes, we could provide components such as...

We want to add clients/projects that are listed as critical infrastructure so that we can continue operations as an essential part of their supply chain.

Yes No

We are interested in discussing contract opportunities with the federal and state government.

Yes No

If yes, we have capacity in the following capabilities, equipment or components:

We are SEEKING CAPACITY in coming weeks (i.e. due to high demand for our products, or a high potential that our employees may be adversely affected by COVID-19 reducing our ability to meet orders and requiring redundancy).

Yes No

If Yes, Our Capacity needs include:

We want to share our CAPACITY requirements in the Federal Navigator database (https://www.federalnavigator.com/) so that regional manufacturers and Federal Clients can contact us with relevant opportunities.

Yes No