Client or Company Requesting Technical Assistance
Client or Company Name *
Company Website *
Company Description - Briefly describe the types of products and services your company offers and who your customers are. *
Contact Name *
Phone Number *
Title
Email Address *
Street Address *
Mailing Address
City *
State *
Zip Code *
Number of Employees *
SIC/NAICS Code
Percent Foreign-Owned *
Request for Technical Assistance
Describe your request for technical assistance, including the problem you are trying to solve and why you are trying to solve it. Failure to add sufficient detail may result in rejection of your request. Min. 150 words. *
How did you hear about the Technical Assistance Program? *
Describe which areas of expertise you are in need of. This will help direct your request to the right people. *
Have you been in contact with anyone at INL regarding this project? If yes, who? *
To the best of my knowledge, the technical assistance requested of the Idaho National Laboratory is not reasonably available in the private sector. *
Yes
No