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Request for Assistance Intake Form


 

Primary employers and site consultants, please provide the following information so that we may begin your custom research.
Primary employers are those businesses that sell primarily to customers outside of the local community.

Completing this questionnaire is as easy as 1, 2, 3…

  1. Please provide the requested contact information.
  2. Please tell us a little about your business.
  3. Please tell about your workforce requirements and any cities for which you would like comparison information.

* Required Fields

Step 1 - Contact Information
First Name* 
Last Name*  
Title*  
Company*  
Company Address 1*  
Company Address 2
City*   State* Zip Code*  
 
Country*  
Phone Number*   Fax Number
()  ()
Email*
Website
SIC/NAICS Code (if known) Type of Business
 
Step 2 - About Your Business
What type of project is planned?*  


<- Please specify Project if Other...
When would you expect to visit Manatee County?*  


What are your top 3 location criteria?*  
1) 
2) 
3) 
Current number of employees*  
employees
Number of years in business*  
years
 
Step 3 - Workforce Requirements
Anticipated number of new jobs with this project*  
jobs
Average annual wage*   
Please provide competing cities so that we may provide comparison information
Please provide any other information which might help us serve your needs
Please describe your product or service*