2019 Initial Request for Assistance
To request assistance from the Women's Business Resource Center, please completely fill out this form and press the "Submit" button. Once we receive your request, we will review it and contact you to suggest next steps for your particular small business' needs.
1. First Name *
Your answer
2. Last Name *
Your answer
3. Email Address *
Your answer
4. Cell Phone Number - Please use the following format: (123) 456-7890 *
Your answer
5. What is the name of your business? If you haven't started your business yet, please type "Pre-Venture" in the box below. *
Your answer
6. How long have you been in business? If you haven't started your business yet, please type "Pre-Venture" in the box below. *
Your answer
7. Provide a brief summary of the business (products and/or services provided). *
Your answer
8. What kind of small business assistance are you seeking? *
Your answer
9. Would you like to receive email updates from the WBRC, including upcoming classes and bid opportunities? *
Required
CONFIDENTIALITY STATEMENT: The Urban League of Louisiana only solicits information necessary and relevant to provide assistance to its clientele. All information will remain in individual client files and will be treated as confidential. Information will not be released to any unauthorized person, organization, or agency without express permission from the client indicated below. I acknowledge receipt of the confidentiality statement of the Women’s Business Resource Center and the Contractor’s Resource Center. Please type your full name below if you agree to these terms. *
Your answer
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