Business

Business Name

Owner(s) Name

Email

Physical Address

Street Address Address Line 2 City

Business Phone

Other Phone

Website

We are prioritizing businesses that are directly affected by, and responding to, the COVID-19 crisis. Please tell us how COVID-19 is affecting your operation. If your needs are not related we will still serve you, it's all about timing.

Have you accessed the Basin Business Advisors Program before?

Yes
No
Not sure

When?

How many years in business?

Business Sector(s) - Check all that apply

Organization of Business?

Location

Home Based
Business Location

Business Location

Lease
Own

# of Owner(s)?

Number of Employees

Full Time

Part Time

Do you intend to hire more employees?

Do you have a Business Registration Number

Gross sales last year?

What do you currently have invested into the business? Provide dollar value estimates for the following sections:

Building

Equipment

Inventory

Land

Tools

Other Business Assets

Does the business have outside financial investors?

Yes
No

Does the business have outside financing?

Yes
No

Ex. Loans or equipment leases.

Most important area(s) of interest for advisement, check all that apply:

Technology can help future-proof your business. Are you interested in implementing technology or improving your current use of technology? We have the tools to help. Indicate highest areas of interest.

How did you hear about us?

Other:

Briefly describe your business. What you sell, how you operate, where you distribute, etc

What is the main reason that you are contacting us?

The Basin Business Advisors Program’s mandate is to assist commercialized businesses that create and sustain jobs and/or bring wealth into the region, or one that is positioned to do so. Please tell us in a brief paragraph how your business fits within this mandate.

Is there anything else you would like us to know about your situation that may help us assist you?

Written and verbal advice provided by Advisors or a contracted Consultant is given in good faith, based on the information available at the time, but this advice is not guaranteed by the Advisor, Consultant, Community Futures Central Kootenay or Columbia Basin Trust. Clients must use their own judgment when considering any advice provided, and implement recommendations at their own discretion.*

I understand and agree
I do not agree
I require further explanation

Please be aware that some emails from the BBA Program are going to people's junk mail folders. Please check this prior to phoning to check on your application.

Newsletter

Yes - please sign me up for the e-newsletter

I agree to receive emails from the BBA Program.

Which office are you closest to*

Serving the Columbia Basin

Basin Business Advisors Program Application for Services

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