Register for Counseling

Ohio SBDC at Kent State University Tuscarawas Campus

Business Name

Leave blank if you do not have a name chosen or the business name is the same as your name.
Position

Your position or title related to this business
Business Address

Your physical street address (number and street) of the business. If a home based business, or the business has not started yet, use your home address.
Address Line 2

Optional. Use for additional address postal information like apt, floor, suite, etc., or a PO Box.
City
State

Please answer the following demographic questions about yourself, or the primary owner if there are multiple business owners. Providing the information in this section is voluntary but will be used by SBA to assess how well the program is serving different communities and to ensure equitable treatment of all people.

Race
Check any that apply
- Asian
- Black or African American
- North African
- Middle Eastern
- Native American/Alaska Native
- Native Hawaiian/Pacific Islander
- White
- Prefer not to say
- Other
Hispanic Ethnicity
Sex
Disability

Do you consider yourself a person with a disability
Military Status
Branch of Service

Business Status

Business has started

Check if you have started conducting business. Leave unchecked if you are in the planning stages and have yet to start this business.
Since this business has started, please enter the following information.
- Year Started
  
  Year this business started
- Month Started
  
  Month this business started
- Business Type
  
  Primary category of business

Please read the following, enter your Full Name, and click Continue below to indicate your acceptance.

I request business counseling service from the Ohio Small Business Development Center (SBDC) Network. I acknowledge that the Ohio SBDC Network includes the International Trade Assistance Centers (ITAC) and Manufacturing and Technology Small Business Development Centers (MTSBDC). The Network partner organizations include the U. S. Small Business Administration (SBA), U. S. Department of Commerce's National Institute of Standards and Technology's Manufacturing Extension Partnerships (MEP), SBA's Office of International Trade (OIT), and the Ohio Department of Development (ODOD).

I agree to cooperate should I be selected to participate in surveys designed to evaluate services received from any of the above referenced partners.

I also permit these partners to use my name and address for surveys and information mailings regarding the partners’ products and services.

I understand that any information disclosed will be held in strict confidence. My personal information will not be shared with partners except in aggregate reporting. My personal information will not be provided to commercial entities. I do authorize partners to furnish relevant information to the assigned management counselor(s).

I further understand that the counselor(s) agree 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 counseling relationship. In consideration of the counselor(s) furnishing management or technical assistance, I waive all claims against the SBA and other resource partners and host organizations, arising from this assistance.

Please enter your full name, indicating your acceptance of the above terms.

Full Name:

Date: 4/2/2025 9:20:05 AM