Form for Small Business/Non-Profit Counseling

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Please complete this form if you are interested in volunteering to counsel, one on one, small business owners, self employed/freelance, or non-profit organizations in seeking COVID-19 related financial assistance, rent or mortgage relief, unemployment, or other types of federal and state assistance.

Name *

Email *

Address *

Phone number (Please use 222-333-444 format with dash separators) *

Describe briefly your areas of expertise * *

Who are you interested in counseling? * *

Business owners/managers

Non-profit organizations

Self-employed or freelance

Other:

Required

When would you be available to do counseling? Please list best days of week and mornings or afternoon. * *

Weekdays morning

Weekday afternoon

Weekday evening

Weekends

Other:

Required

Please provide one reference (name and contact information) who can verify your skills. *

Do you know anyone else who might be interested in being a counselor? Please send name and contact details.

Thank you for your interest. We will contact you within three business days.

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