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Project Report - Technical Assistance Program Form

Client or Company Requesting Technical Assistance


Client or Company Name *
Please enter Client or Company Name.
Contact Name *
Please enter Contact Name.
Phone Number *
Please enter Phone Number.
Fax Number 
Title 
Email Address *
Please enter Email Address.
Street Address *
Please enter Street Address.
Mailing Address 
City *
Please enter City.
State *
Please enter State.
Zip Code *
Please enter Zip Code.
Number of Employees 
SIC/NAICS Code 
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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