Office of Business Opportunities
"Providing Opportunities for Columbia's Small Businesses"
1225 Lady Street, 1st Floor P.O. Box 147 (29217) Columbia, SC 29201
Phone (803) 545-3950 Fax (803) 255-8912
Date:
Client Information
Company Name:
Contact Name:
Address: Business Phone #:
Cellular Phone#:
City:
State
Zip Code:
Email Address:
Fax Phone#:
FED ID#:
Service/Assistance Request (select all that apply)
Business Startup
Business Plan
Financing/Capital
Marketing
Government Contracting
Tax Incentives
Empowerment Zone Info
Business Expansion
Location Assistance
Networking Opportunities
Business Development Training
Other/ Explain:
Business Classification
African American Female Other Minority
American Indian
Caucasian Female
Non-Minority
Organization Type
Sole Proprietorship/Individual Partnership
Corporation
Corporation
Limited Liability Corporation (LLC)
Business Status
Start Up/1-2 years 3-5 years 8-10 years 15 years +
Industry Type (Select all that apply)
Agriculture, Forestry, Fishing & Hunting
Arts, Entertainment, & Recreation
Construction
Educational Services
Finance and Insurance
Health Care and Social Assistance
Information/Telecommunication
Management
Manufacturing/Production
Professional Service
Public Administration
Real Estate Rental and Leasing
Real Estate Sales
Retail Trade
Research and Development
Transportation
Waster and Remediation
Other Services
Business Information
Are you located within City limits of the City of Columbia? Yes No
Are you certified by any of the agencies below?
A. South Carolina Department of Transportation (SCDOT)
Yes No
B. South Carolina Governors Office of Small Minority Business
Yes No
C. Small Business Administration – 8(a)
Yes No
Number of Employees: Full Time: Part-Time:
How did you hear about our office and loan program?
____ OBO web site
____ City of Columbia web site
____ Meeting/conference etc. attended by OBO staff
____ Referral (if so by whom?) _____________________________________
INTAKE FORM
Business License #:
Veteran
Hispanic
African American Male
