1Berkshire Economic Development Team Intake Form
Please fill out this form ahead of your meeting with us to help us become more aware of your needs and resources with which we might be able to connect you. Our consultation services are free of cost and confidential, but the information you provide below will help us tailor your consultation to your needs and will help us track our impact.
Email *
Please provide your first and last name. *
What is the name of your business or proposed business? (Please include city/town) *
I identify my business as: (please check ALL that apply) *
If you hold a certificate for any of the following, please check all that apply. NOTE: You may have checked boxes in the previous question but still not be "certified" by the state. This question is specific to certificates held.
Please briefly describe your business or proposed business. *
What is your business' or proposed business' address? *
How much private money has been invested so far? *
How many employees does your business have? *
How many jobs has your business created so far? *
If already in operation, how many jobs does your business hope to save, if any?
What help are you interested in receiving? *
Is there anything else we should know before your consultation meeting? *
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