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  • Cares Program Consulting Client Inquiry Form

  • The WBEC-East Cares Program is a federally-funded SBA program that provides support to business addresses in Philadelphia, Bucks County, Montgomery County, Delaware County, Lehigh County and Chester County. If your business address is outside of these areas, locate and contact your local Small Business Development Center or Women’s Business Center for COVID-19 related resources. If you have any trouble contacting your local business centers, please do not hesitate to contact WBEC-East with your questions or concerns. Please feel free to view our upcoming webinars, available to all businesses.

    To ensure we match you with the most appropriate resource, we need to collect some information. All information you give us will be kept strictly confidential. We never report personal or business information by individual or business name.

    Our SBA funding allows us to provide these services at no cost to you, the business owner. In exchange for this financial benefit, please help us to continue to serve you by answering the questions below as completely and accurately as possible.

    Thank you!

  • Contact information

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  • If you're in business, please provide your business address.

  • PLEASE READ & SIGN BEFORE CONTINUING WITH FORM

    REQUEST FOR ASSISTANCE AND CERTIFICATION

     

    I request business management counseling and/or training from the Women’s Business Enterprise Center East.  I agree to cooperate should I be selected to participate in surveys designed to evaluate WBEC-East services.  I further understand that any counselor or trainer in this program has agreed not to:  (1) recommend goods or services from sources in which he/she has an interest and (2) accept fees or commissions developing from this counseling or training relationship.  I waive all claims arising from this assistance against all personnel of WBEC-East, its parent or sponsoring organization, if any, and its host organizations, and other resource counselors.

     

    I certify that all my statements contained on this form are correct to the best of my knowledge and that I will cooperate in providing follow up information needed to evaluate the effectiveness of the program if asked by an authorized representative of the Women’s Business Enterprise Center East.

  • Please answer the following demographic questions. Your information will be kept confidential.

  •  -  - Pick a Date



  • In question 11, and in other questions, we'll ask you about your business now and in the future to help us to understand the impact of our efforts on the economy. All information will be kept confidential and you may elect not to respond.

  • If you selected A or B above, you have completed the form. Please leave the remaining fields blank.

    If you selected C or D, please complete the following questions about your business.



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