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To get this SG Business Tool, please complete the following Business Overview Form. Your submission will be kept 100% confidential and only used by StartingGate.

*=required information

Contact Info
*First Name:
*Last Name:
*Phone:
*Email:
Business Info
*Company Name:
*Street (Business Location):
*City:
*Zip:
*Year Business Founded:
Number of Employees:
Website:
*Are you representing an existing business looking for assistance?	Choose An Answer yes no
*Are you looking to (or in the process of) starting a new business looking for assistance?	Choose An Answer yes no
*Lead Source:
How did you hear about CCOP?
*What type of assistance are you seeking?	Choose An Answer Business Planning, Strategic Planning, Business Development Funding and Financial Assistance (State and Private) Location Assistance Training and Staff Development Business Services such as legal, accounting, consultation, regulatory Technology and process improvements Marketing and sales
Your business may be eligible for certain government programs depending on specific conditions. Please tell us which of the following criteria may apply to your current or future business?	Choose An Answer None Minority owned Woman owned Veteran owned Owned by, or willing to employ workers with disabilities
Please note anything else CCOP should know to help us better serve your business:
Are you interested in providing services to businesses?	yes no
Are you interested in learning more about StartingGate?	yes no
Would you like to be on StartingGate's mailing list?	yes no

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