FREE ONLINE E-MAIL COUNSELING!

SCORE 1000 provides free online email counseling to those who cannot come to one of our office locations.
Your email request must be short, concise and contain the following information.

REQUEST FOR COUNSELING First Name Middle Name Last Name E-mail Primary Phone Secondary Phone Fax I request counseling services from SCORE. I agree to cooperate should I be selected to participate in surveys designed to evaluate SCORE services. I permit SCORE or its agents the use of my name and address for SCORE surveys and information mailings regarding SCORE products and services. I understand that my information will be held in strict confidence. Yes No Address City State Zip Preferred date and time for appointment. Date: Time: CLIENT INFORMATION Race Ethnicity Native American or Alaskan Native Asian Black/African American Native Hawaiian or other Pacific Islander White Other Hispanic Origin Not of Hispanic Origin Gender Veteran Status Military Status Do you consider yourself to have a disability? Yes No Male Female Veteran Non-Veteran Service-Disabled Veteran On Active Duty Member of Reserve or National Guard WHAT INSPIRED YOU TO CONTACT SCORE? SBA Bank Business Owner Television/Radio Magazine Other Client Internet Newspaper Chamber of Commerce Educational Institution Local Economic Development Official Word of Mouth Other BUSINESS INFORMATION Currently in business? Name of Company Yes No Type of Business Mining Utilities Information Construction Retail Trade Manufacturing Finance & Insurance Wholesale Trade Public Administration Educational Services Real Estate & Rental Leasing Healthcare & Social Assistance Accommodation & Food Services Transportation & Warehousing Professional, Scientific & Technical Services Mgt. of Companies & Enterprises Agriculture, Forestry, Fishing & Hunting Administrative & Support Waste Management & Remediation Services Other Services (except Public Admin.) Business Ownership Business started (month/yr.) Conduct business on-line? Home-based business? % Male % Female Yes No Yes No Number of Employees Financial Figures for most recent full year Gross Revenues/Sales $ +Profits/-Loses $ Legal Entity of your business Sole Proprietorship S-Corporation Corporation Partnership LLC Other NATURE OF THE COUNSELING REQUEST Choose a primary category Start-up (how do I start a small business?) Business Plan Financing/Capital (such as applying for a loan, building equity capital) Managing a Business Human Resources/ Managing Employees Customer Relations Accounting/Budget Cash Flow Mgt. Tax Planning Marketing/Sales (promotion, mkt. resch., pricing, etc.) Govt. Contracting (including certifications) Franchising Buy/Sell Business Technology/Computers eCommerce (using the Internet to do business) Legal Issues (such as should I incorporate?) International Trade Describe specific assistance requested in the space provided.

Should we recommend that you need see a SCORE COUNSELOR in person, can you come to a SCORE office? Yes No

Email us at info@scorenyc.org