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Home >> Business Resource Central >> Business Consultation Program
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Expert/Counselor Application

Name:
Title: Company:
Phone/Fax: Email:
Education/Certification:
Area(s) of expertise:
Accounting/CPA Advertising/Marketing Attorney Banker
Human Resources Insurance Investment Public Relations
Sales Strategy/Planning Technology Other (specify)
Area of Specialty and # years experience:
/ /
/ /
I am willing to donate up to hours per month to help a Broken Arrow business.
  • I hereby agree to fulfill my responsibilities as a consultant to the best of my ability and recognize that while the initial consultation may result in an ongoing business relationship, the initial consultation is to be of assistance to the requesting business.

  • I hereby agree to keep anything divulged during a consultation session in strictest confidence.

Date:

By submitting this form, you are digitally signing this application.

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