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When you are finished, please click "Submit Questionnaire" at the bottom of this page.
Description of Business: (e.g. coffee shop, retail clothing store, lawyer office, auto mechanic, etc.)
Name of Primary Contact:
Title of Primary Contact:
E-mail Address: (required)
Number of Employees:
What are your days/hours of operation?
Why did you choose this location for your business?
Please list the three issues which are most important to you as a business owner.
(e.g. health insurance, permitting, public safety, taxes, transportation)
Is your business willing to provide internships?
If so, would they be paid or unpaid?
Does your business require a special state license to operate?
If so, what kind?
(Please click only once)