Small Business Assistance Request

Small Business Assistance Request

For companies affected by COVID-19
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Business Name*
Business Website
Business Social Media Links
Date of WV Business Registration*

MonthDayYear
Date
Any other business partners
list first and last names
Brief description of business*
Is the business a non-profit?*
Is the business a franchise?*
Business Type*
Number of Employees*
as of January 31, 2020
Brief description of how COVID-19 has affected your business*
Brief description of how WVU Chambers College of Business & Economics Encova Center can help your business through the COVID-19 crisis*
Subject Matter Experts you feel could help your business at this time*
ie accountants, HR professionals, business strategists, engineers, marketing professionals, etc.
Should be Empty: