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TA Provider
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Contact 1
First Name
Last Name
Street Address
City
Postal Code
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone Number
Phone Type
Mobile
Phone
Fax
Pager
Voicemail
Phone Location
Billing
From the Web
Home
Main
Other
Work
Email
Email Location
Billing
From the Web
Home
Main
Other
Work
Constituent Info - Individuals
Pronouns
Ethnicity
African (Liberian)
African (Somali)
African (Nigerian)
African (Kenyan)
African
Native American/Alaskan Native
African-American
Asian (Hmong)
Asian (Vietnamese)
Asian
Native Hawaiian/Pacific Islander
Hispanic/Latinx
Caucasian
Prefer not to respond
Business Name
Business Strategy: please check the boxes for the business strategy TA you're able to provide.
Business Plan Development
Business Planning
Marketing Strategies
Starting & Growing a Business
Success Planning
Website Optimization
COVID-19 Services: please check the boxes for the COVID-19 TA you're able to provide.
COVID-19 Best practices
COVID-19 notification procedures, safety protocols and health guidance
Assessing financial viability in light of the pandemic
Financial Services: please check the boxes for the financial TA you're able to provide.
Access to capital consultation
Accounting & Bookkeeping
Financial Counseling / Cost Analysis
Fiscal analysis/ long term planning
Loan Packaging
Payment negotiation to lenders and creditors
Working with lenders and creditors to negotiate payments
Other
Human Resources: please check the boxes for the human resources TA you're able to provide.
Assessing human resource policies
Cultural competency training
Employee engagement and retention
HR policy review / Telework policy development / assessing staffing needs
Implementing health and safety protocols (industry specific)
Social media training
Virtual employee onboarding
Workforce diversification
Other
Legal Services: please check the boxes for the legal TA you're able to provide.
Employment law
Insurance policy review
Lease review and negotiation of terms
Legal general
Technology: please check the boxes for the technology TA you're able to provide.
Technology as a pillar of business going forward
Technology pivots
Upgrading technology / technology implementation
Web-based ordering/online shop development
Website creation & management
Other
Accreditation & Misc: please check the boxes for the other TA you're able to provide.
Business Certification (DBE, CERT, etc.)
Business Management
Employee mental health and wellbeing
Starting a new business: registration, EIN, credit
Wellbeing
Other
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