WV Child Care Request for Support Template

Request for Child Care Business Support

We look forward to supporting your business consulting and support needs. Please complete the form below to begin the process to connect you with the right person to support your need. It is very helpful if you are able to provide additional background information at the bottom.

First Name *

Last Name *

City *

County (If known)

State

Zip Code *

Phone Number

Email Address *

Are you a current WomenVenture Client or Training Participant? *

Yes

No

Please select the best description for the support you are seeking: *

COVID-19 Business Support

General Child Care Business Support

Questions about Child Care Finance or Loan Options

Child Care Business Support Resources Available

Child Care Business Training

Other (Provide description below)

Please select the description that best describes your business stage: *

New Business - Idea

New Business - General Strategy Defined

New Business - Business Plan & Financials Complete

Existing Business - Less than 1 year in business

Existing Business - 2-5 years in business

Existing Business - 6-20 years in business

Existing Business - More than 20 years in business

What type of child care business? *

Child Care Center

Family Child Care

Not sure

How many child care slots? (Current or Expected) *

Less than 15

16-50

50-100

More than 100

Please provide additional background information: * 🛈

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