Build You Up! Service Assessment
Thank you for your interest in Build You Up! Please complete the following form to allow us to best connect you with the appropriate service and team member.
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Contact Information
Name
*
First Name
Last Name
Business Name
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Best Way to Contact You
*
Email
Phone
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Business Information
Business Entity Formation
*
Sole Proprietor
Nonprofit 501(c)(3)
LLC/LLP
B-Corp
C-Corp
S-Corp
None
What Industry Is Your Business In?
*
What Stage Is Your Business In?
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Seed And Development
Startup
Growth And Establishment
Expansion
Maturity And Possibly Exit
Which Service Do You Think Best Fits Your Needs?
*
General Informational Consultation
Consulting And Concept Ingenuity
Growth Strategies
Risk Management
Social Service Commitment
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Meeting Information
Are You Interested In An Initial Meeting or Working Sessions?
*
Initial Meeting (completed before signing a contract agreement)
Working Sessions (Completed following signing a contract agreement)
What Type of Initial Meeting Are You Requesting?
Phone
In Person
Video Conferencing
How Long of An Initial Meeting Are You Requesting?
15 Minutes
30 Minutes
What Is the Purpose of Your Request?
How Did You Hear About Us?
Would You Like To Share Anything Else With Us?
Business Background Information
What Is Your Business Mission Statement?
Describe Your Organization And The Work You Do? (You Can Provide A Bulleted List)
What Are Your Values And Priorities?
What's Working Well?
Do You Have A Team? If So, How many Team Members?
What Are Some of The Existing, Emerging And Relational Assets?
What Steps Have You Taken To Achieve Them?
How Will You Define Success?
What Resources Do You Have That Will Help You To Reach These Goals?
Define Your Challenges:
Identify Next Step Needs (Select All That Apply)
Determine Priorities
Create An Action Plan
Education/Training
Measure Progress
Develop Collaborations
Expand Resources
Prioritize Your Top 3 Needs:
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