Client or Company Requesting Technical Assistance

Client or Company Name *
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Contact Name *
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Phone Number *
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Fax Number 
Email Address *
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Street Address *
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Mailing Address 
City *
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Zip Code *
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Number of Employees 
Percent Foreign-Owned 
Technical assistance requested or nature of problem and its symptoms 
Feedback from INL employee

INL employee(s) providing technical assistance 
Describe the technical assistance provided 
Give a summary of efforts and results of technical assistance (not any difficulties with process or interaction) 
Feedback from Client or Company
Please describe your experience with INL's Technical Assistance Program

Do you feel that your request for technical assistance was fulfilled and that the technical assistance provided to you achieved the desired outcome? 
Please explain 
How will the technical assistance provided to you help in the development of your business? 
Based on your experience, how can INL improve its technical assistance program? 
Additional Comments 


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