BUSINESS ASSISTANCE
REQUEST FORM

Company Name:
Contact Name:
Mailing Address:
Contact E-mail:
Contact Phone:
Contact Fax:
 


Tell us about your company / proposed project
This information will assist us in any research done prior to contacting you.

 
 

Are you an existing or startup business?

 

  

Do you currently lease or own space for your business?

 

If applicable, how many square feet of space do you lease/own?

 

 sqft.

How many employees does your business employ?

 
Please provide a brief description about the services your company provides
 

How can we help?
Choose the type(s) of assistance you need from the lists below.

 

Business / Government Liaison

  Discuss Individual Business Concern
Assist with Site Location
Request economic/demographic information
Contact information on county/state department/agency

Business Support Services

  Financing Resources
Industrial Revenue Bonds
Virginia Small Business Financing Program
Virginia Small Business Development Center
Other Options
Workforce Resources
Lord Fairfax Community College Workforce Services
Fauquier Career Resource Center/Workplace
Virginia Workforce Services Programs
 

Comments/Questions: