Business

Business Name

Owner(s) Name

Email

Physical Address

Street Address Address Line 2 City

Business Phone

Other Phone

Website

How many years in business?

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

Business Sector

Choose the primary sector that your business operates in.

Organization of Business

Location

Home Based
Business Location

Business Location

Lease
Own

# of Owner(s)?

Number of Employees (other than owners)

Full Time

Part Time

Do you intend to hire more employees?

Do you have a Business Registration Number

Gross sales last year?

Less than $30,000
$30,000 - $100,000
$100,000 - $450,000
$450,000 - $1,000,000
$1,000,000 - $1,500,000
$1,500,000 +

How much do you financially have invested in your business? It could be in the form of property, equipment, tools, inventory or cash. Please exclude sweat equity.

Does the business have outside financing?

Yes
No

For example, loans or equipment leases.

Most important area(s) of interest for advisement, check most important, max 3

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 that you want to work on.

How did you hear about us?

What is the main reason that you are contacting us?

How has the COVID-19 Pandemic affected your business?

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.

Serving the Columbia Basin

Basin Business Advisors Program Application for Services

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