Business Support Request Intake

SIMBA is contracted with the State of Washington's Department of Commerce and the Department of Labor & Industries to provide direct assistance to Eastern Washington businesses and volunteers on a variety of topics.

Please fill out the following information below to the best of your ability. Each field helps SIMBA match the appropriate help to the suitable need. After submission, you will be contacted by our team in order to set up a personalized, 1:1 meeting.

We look forward to assisting you with your business needs!

SIMBA

Individual Information

First name*

Last name*

Email*

Mobile phone number*

City*

State/Region*

Zip Code*

Do you need translation services? If so, please check this box.

If you need translation services, please let us know which language(s) are needed so we can schedule appropriate translators.

Business Information

Please fill out your company's information below.

If you do NOT have an established business or are a startup, check the box below, then SKIP the remainder of the business information section.

If you are in the startup phase, or haven't yet registered your business click the box below and skip to the business development questions below.

No Business Established / Startup

Company name

Number of employees

Website URL (Please do not include Facebook URLs here)

Facebook company page

Instagram URL

City

State

What business support areas or topics do you need support/help/assistance with from SIMBA?

Provide details about the kind of business support you are seeking from SIMBA - this can be one or many topics. *

(ex: marketing, how to host a workshop, setting up an LLC, business taxes, business planning, etc.)

Demographic Information. Please note all information is stored in a secure manner and is only presented in the aggregate as requested by grantors and contracting parties. No identifying information will be provided to any third-parties for any reason.

Are you employed in addition to owning or wanting to own a business?

Country of Origin or Tribal Affiliation*

Please select the single category that is most accurate from the below options.*

If you selected multi-ethnic or multi-racial in the prior question, please select all that apply.

Do you currently participate in any SIMBA programs?

Is Your Business on Live Local INW?

Interested to Learn More

Business is Added to Directory