REQUEST for Face to Face mentoring

Use the self service appointment system for our
233 Peachtree, Cobb, North Fulton, Gwinnett, Fayette, Henry, and Rockdale County locations
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Other Mentoring Locations :
Name:*
Email:
Day Time Phone:
Street Address
City, State, Zip
Are you currently in business? No
Yes
Company:
What business question do you need help with?
Please be as descriptive as possible.
*I request business mentoring service from the Small Business Administration (SBA) or an SBA Resource Partner. I agree to cooperate should I be selected to participate in surveys designed to evaluate SBA services. I permit SBA or its agent the use of my name and address for SBA surveys and information mailings regarding SBA products and services. I understand that any information disclosed will be held in strict confidence. (SBA will not provide your personal information to commercial entities.) I authorize SBA to furnish relevant information to the assigned management mentor(s). I further understand that the mentor(s) agrees not to: 1) recommend goods or services from sources in which he/she has an interest, and 2) accept fees or commissions developing from this mentoring relationship. In consideration of the mentor(s) furnishing management or technical assistance, I waive all claims against SBA personnel, and that of its Resource Partners and host organizations, arising from this assistance.