This Form Is For SBDCs Interested In Participating In The Great American Small Business Challenge

This Form Is For SBDCs Interested In Participating In The Great American Small Business Challenge

What Is your FULL name of your SBDC? *
Are you signing up your LOCAL SBDC or all of the SBDCs in your Region?
Is your SBDC affiliated with a College or University? *	Yes No
Does your SBDC have a specific area of specializtion? If yes, what type?
What is your Job Title or Position at your SBDC? *
What is your First and Last name? *
What is your Area Code and Telephone number? *
What is your Email address? *
What is your SBDC's Street Address, please include City, State and Zipcode? *
What is your SBDC's web site URL? (If you represent a LOCAL SBDC, please provide that URL) *
Do you have the authority to make or influence decisions? *	Yes No
Does your SBDC primarily service rural clients? *	Yes No
Does your SBDC primarily service minority clients? *	Yes No
Does your SBDC primarily service urban clients?	Yes No
What organizational, project and performance management software are you currently using to help your client organizations? *
What type of quality management or continuous quality improvement programs are the majority of your clients utilizing? *
Describe the type of online collaboration tools that you utilize to communicate with your clients? (Example, GoToMeeting, Google Documents) *
Describe the type of free help or training you would like for your Board?
Describe the type of free help or training you would like for your Executive Team? *
Discribe the type of free help or training that you would like for your SBDC counselors? *
Are you familiar with the American Sociey for Quality (ASQ) and the services ASQ offers to its members? *	Yes No
Are you a member of the American Society for Quality (ASQ)?	Yes No
Would you be interested in joining the American Society for Quality's (ASQ) Small Business Network? *	Yes No
Are you familiar with the criteria for the Malcolm Baldridge National Quality Award? *	Yes No
Where did you hear about the GASBC? *
What is your primary motivation for becoming involved in the GASBC? *
Are you interested in joining our Online Community? If yes, please sign-up at www.greatamericansmallbusinesschallenge.com. *	Yes No
Have you told your colleagues about the GASBC and encouraged them to attend an online overview? (If no, please help spread the word!) *	Yes No