The CEI Women's Business Center: Request for Advising
* Required
Thank you for your interest in receiving free, confidential advising from the CEI Women's Business Center. After receiving this form we will contact you as soon as possible.
First and last name
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Your answer
Phone number
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Your answer
Email
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Your answer
Street address (home)
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Your answer
Town/City (home)
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Your answer
Zip code
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Your answer
Business name
(leave blank if none)
Your answer
Position/title in business
e.g. owner/manager/etc. (leave blank if none)
Your answer
Business website
(leave blank if none)
Your answer
Business description
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Please write a brief description of type and stage of business or business idea.
Your answer
Business advising need
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Please describe what you are hoping to achieve through advising at the CEI Women's Business Center. This might include specific issues you are facing, goals you are working towards, questions you have, etc. If you are filling out this form specifically to request credit counseling, please note that here.
Your answer
Have you already been in contact with, or scheduled a meeting with, a WBC advisor? If yes, please select with whom. If not, leave blank.
Sarah Guerette
Ruth Feldman
Lorri Brown
Other:
Clear selection
Were you referred to us by MTI?
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Yes
No
Client Information
In order to keep our funders happy, and our advising free, we are required to ask this information. We keep all information confidential, and report it only in aggregate.
Race
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Asian
Black
Native American
Hawaiian/Pacific Islander
White
No response
Ethnicity
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Hispanic
Not Hispanic
No response
Disability
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Yes
No
No response
Gender
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Female
Male
Other
Military Status
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Veteran
Non-Veteran
No response
Business Information
Business Status
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We define "in business" as having some online or physical business presence, and already having had paid sales.
In Business
Not in Business
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