Economic Inclusion Community Assistance Program Questionnaire
Thank you for your interest in economic recovery resources from the Utah LGBTQ+ Chamber of Commerce and the Salt Lake County Office of Regional Development.

The EICAP program connects you with resources to help your small business recover from the economic impacts of the Coronavirus pandemic. Recovery doesn't look the same for everyone and businesses owned by marginalized community members can often be left behind, highlighting inequities that already existed before the economic downturn. The Utah LGBTQ+ Chamber of Commerce is partnering with the Salt Lake County Office of Regional Development to help businesses connect with resources that can aid in recovery.

Please complete the required information and a facilitator from the chamber will contact you to schedule an in-person or virtual appointment.

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Contact Name *
Contact Name Pronouns *
Business Name *
Email Address *
Phone Number
Business Website
Preferred Contact Method *
Preferred Day(s) to Meet (check all that apply) *
Preferred Time of Day (check all that apply) *
Do you prefer an in-person meeting or virtual? *
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