Form for Small Business/Non-Profit Counseling
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? * *
When would you be available to do counseling? Please list best days of week and mornings or afternoon. * *
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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