Request for Assistance
Please complete this form to get connected to resources.
Action Taken
Please Select
Sent to SCORE
Sent to Dallas SBDC
Sent to North Central TX SBDC
Sent to CGC
Sent to Trinity Valley SBDC
Sent to Tarrant
Sent to Paris
Appt. made w/Marta
Appt. made w/ Karen
Appt. made w/Alex
Appt. made w/ Laura
Left message/sent email
Sent Resources
Client Cancelled Appointment
Other:
Other Explained:
First Name
*
Last Name
*
E-mail
*
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip Code
Are you in business now or are you looking to start a business?
*
I am in business
I want to start a business
My status is unclear
Company Website (if any)
Please give us the location of:
*
Collin County
Rockwall County
Dallas County
Denton County
Tarrant County
Other
Home
Work
Business Location
If answered Other above, where are you located?
Please describe the type of business you are looking to start or grow.
*
Do you need funding for your business?
Yes
No
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How much money do you need to start or grow your business?
*
$0 - $1,000
$1,001 - $5,000
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
$50,001 - $100,000
$100,001 - $250,000
More than $250,000
Unknown
How much do you have in savings or financial resources that you can put towards starting or growing your business?
*
Do you have any collateral that can be used to secure a loan if ever necessary? (Click question mark to right for examples)
*
Yes
No
Unknown
I don't know
What is your credit score? (Note: If you don't know you might consider visiting www.creditkarma.com)
*
750 or above
700-750
650-700
600-650
Below 600
I don't know
How do you plan to finance the start-up or growth of your business? (Check all that apply)
*
Savings
Family and/or Friends
Investors
Bank term loan/line of credit
Retirement funds (ie:401K)
How soon are you looking to start or grow your business?
Less than 30 days
1 to 3 months
3 to 6 months
6 to 12 months
1 year +
Unknown
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Next
Please describe the assistance you are seeking from the Collin SBDC to start or grow your business.
*
How did you hear about the Collin SBDC?
*
Bank
Chamber
Client/Word of Mouth
College/University
County/City Government
Internet Search
Local Economic Development
SBA
SBDC
Training Seminar
SCORE
Social Media/Blog Post
Collin SBDC CARES
Other
Have you ever received any business assistance from the following? (Check all that apply)
*
Collin SBDC
Dallas Metro SBDC
Center for Government Contracting
International SBDC
SCORE
Independent Business Consultant
None
Other
E-mail
Referral
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