AEDP Small Business Counseling Request

AEDP Small Business Counseling Request

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Please fill out this form to request a counseling appointment with Alexandria Small Business. The more information you provide, the better we will be able to help you.

First Name

Last Name

Email

Phone

Full Legal Name of the Business

Website URL

Local Business Address (You must be located within the City of Alexandria)

Select your zip code

If your zip code is not listed above, please write your zip code below and explain how your business will operate in the City of Alexandria

Address Line 1

If you do not have a business address, please use your home address

Address Line 2

City

State

Postal Code

Which is the best way to contact you?

What type of business?

Home-Based Business E-Commerce (online based business) Brick-and-Mortar Business Other

If other, please specify the type of business

Choose the industry category that best describes your business

What phase is your business in?

Ideation Stage (pre-startup)Start-Up (not yet in business) Existing Business (have a business license)

Race

Ethnicity

Gender

Veteran Status

Military Status

Preferred Language

We can provide counseling or referrals in a variety of areas. Please identify your top two reasons for requesting an appointment. This allows our counselors to be best prepared for your meeting. Other topics may be addressed during future sessions.

Start-Up/Business Acquisition (business planning, financial planning, sources of capital, franchising, licensing, e-commerce, buy/sell businesses, and registration)Accounting (taxes, record keeping, job costing systems, invoices, and accounts payable)Finance (cash flow management, financial statement analysis, and business valuation)Marketing & Sales (marketing plan, pricing strategy, market analysis, site location, advertising and promotion, and social media)Government Contracting (inventory management, logistics, quality management, facilities, purchasing, distribution, and transportation)Human Resource Management (recruitment, training, compensation, legal guidelines, worker safety, employee manuals, and procedures)Other

If other, please identify specific questions you wish to address. The more specific you are, the more prepared your counselor will be to address these concerns at your appointment.

Briefly describe your business idea/concept. Detailed description will help us better match you to the appropriate counselor, please include in your writing questions you wish to be addressed.

i.e. products or services offered, location, etc.

If you need help to finance your business, what is the estimated amount required? Keep in mind the amount of working capital needed to sustain the business in addition to all initial costs.

How much cash are you prepared to invest in the business? Provide a dollar estimate.

What other equity or assets will you use as collateral? Provide a dollar estimate.

How did you find out about AEDP Small Business?

Internet searchWord-of-mouth referralCity staff referralBusiness AssociationSmall Business Administration (SBA)Small Business Development CenterOther

If other, please specify

When you complete this application, you will automatically be subscribed to the AEDP Small Business monthly newsletter. Check the box below to avoid being added.

Please don't add me to the AEDP Small Business Newsletter

I hereby request a business consultation from the Alexandria Economic Development Center (AEDP).

I understand that this consultation is free of charge and that I incur no obligation to AEDP or its business consultants for providing this business consultation.

In consideration of AEDP delivering this business consultation, I hereby indemnify and hold AEDP and its business consultants harmless from all claims that I may now or in the future have against AEDP or its business consultants. AEDP and its business consultants disclaim all liability with respect to any actions taken or not taken by me based on this business consultation.

It is further understood that I shall construe none of the business consulting services to be furnished by AEDP or its business consultants to constitute legal, accounting or other professional advice. My own lawyer, accountant or other professional advisors can only provide me with such advice.

I agree to the terms above.