New Business Assessment Form

If you would like to receive free, confidential business consulting from a certified business professional, please complete the form below. All information provided is confidential.

Contact Information

First Name *REQUIRED*

Last Name *REQUIRED*

Business Name (if known)

Address (Line 1)

Address (Line 2)

City

State

ZIP Code

Phone

Fax

E-mail Address *REQUIRED*

Additional Details

If other, please describe

Have you considered a potential location?

If no, do you require assistance with finding a location?

When do you plan to open your business?

Do you have a business plan?

Are you seeking funding, Is yes, how much are you seeking

How to you plan to get the needed funding? (Please check all that apply)

How much money do you have to invest in the business?

What is the legal structure for the business?

Sole Proprietorship, Corporation, Partnership, Limited Liability Company (LLC), Unsure at the present time

Describe your target market and your competitive edge

Please list any other organizations or resources currently assisting you?

What assistance would you like to receive?

Preferred Response

The information submitted will be kept confidential. We do not sell or mine contact or any other information. A certified business consultant will contact you shortly.

Thank you

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310 W. Bacon Street
Hillsdale, MI 49242

Phone (517) 437-0990
E: info@espotmi.org

**Equal Opportunity Employer/Program. Auxiliary aids and other accommodations are available upon request to individuals with disabilities. Funding through the Michigan Department of Energy, Labor and Economic Growth.

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