CREATE THE CAPACITY
INFORMATION REQUEST FORM
Full Name:
*
First Name
Last Name
Please Enter Your Title:
Please Select Type of Business
*
Small Business
Large Company
Nonprofit
Faith-based Church/Organization
Other
Please Enter Your Email
*
Phone Number
*
-
Area Code
Phone Number
What type of business category do you need help with? Please select all that apply.
*
Office administration/process evaluation/management
Small or large business operations
Program creation and/or development
Program/project management
Recruiting and/or staff development
Staff Management
Business Development
Not sure, I would like to discuss
Other
How urgent is your support need?
*
Very urgent- ASAP
Sooner rather than later
Ready, but no urgency
No at all, just want to learn more about the service
Are You Interested in Virtual or Onsite Job Duties?
100% Virtual
100% Onsite
Hybrid
Technical Assistance Support
Skip this section if your are not interested in receiving technical assistance
Please describe your business challenge/s
Have you received technical assistance before for the challenge/s described above?
Yes, but need more guidance or training
No, this is my first attempt
Not sure, I have received general advice
Other
If you answered yes to the question above, please summarize the type of technical assistance you've received.
Besides yourself, who will take part in the consultations?
Board member/s
Staff member/s
Executive Director (if this isn't your title)
Volunteer/s
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