Technical Assistance (English) Business Services GroupTechnical Assistance FormComplete and submit this form to request assistance. Grant ProgramsPlease select... None GJDC_Grant Business Name Owner Contact Information First Name Last Name Cell Phone Country of OriginPlease select... 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Accommodation and Food Services Administrative and Support Services Agriculture, Forestry, Hunting and Fishing Arts, Entertainment and Recreation Construction Data Processing Services Educational Services Finance and Insurance Healthcare and Social Assistance Information/Technology Manufacturing Other Professional, Scientific, and Technical Services Retail Trade Transportation and Warehousing Waste Management and Remediation Services Wholesale Trade Business Open Year Number of Employees EIN Women Owned?Please select... Yes No Veteran Owned?Please select... Yes No Minority Owned?Please select... Yes No DemographicsPlease select... Black Hispanic Asian-Pacific Asian-Indian Subcontinent Native American White Is this a start-up?Please select... Yes No Assistance Requested Brief description of assistance needed Is this a new or follow up request?Please select... New Follow up Not Sure How did you hear about us?Please select... 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