The Maine SBDC at CEI Client Attribution Form

Thank you for filling out this attribution form. By completing this form, you certify you worked with a Business Advisor, and they were meaningfully helpful. This includes business advisors at the Maine Small Business Development Center (SBDC) at CEI and CEI Women’s Business Centers.

We keep all information confidential, and report it only in aggregate.  Your response keeps our funders happy and our services free.  Depending on your work with us, you may only fill in some of the sections, and not others.  Please be sure to initial the sections where you have responded.

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Business Start

Enter the start date of your business. Note: "in-business" is defined by the Small Business Administration as having spent money on the formation, startup or operation of your business.
MM slash DD slash YYYY
Ex. sole proprietor, partnership, LLC, S-Corp, C-Corp
What % of the business is female owned?

Job Creation

For new businesses, list the number of Full-Time jobs created. For existing businesses, list the number of jobs created because of the help you received from a Business Advisor. Note: You (as owner of this business) count as a job created if this is a new business, even if you are not legally an employee of your business.
For new businesses, list the number of Part-Time jobs created. For existing businesses, list the number of jobs created because of the help you received from a Business Advisor. Note: You (as owner of this business count as a job created if this is a new business, even if you are not legally an employee of your business.
Skip this question if you are starting a new business. Jobs retained are jobs that would have been lost without the assistance of a Business Advisor. Note: This most commonly applies if you would have gone out of business but-for the advising you received, or if you are buying a business that otherwise would have closed.

Capital Contributed

If you are starting the business, list the total value of Cash and Personal Assets you have invested; if your business exists, list the total value of Cash and Personal Assets you are investing into this Phase.
List the total amount of grants received thus far.
These include loans from formal lenders (banks, etc.) and more informal loans from friends, family, etc.
Please list all sources of loan funds: banks, investors, sellers, etc.
Please list all sources of other funds.
My work with a SBDC Business Advisor or the CEI Women’s Business Center has been meaningfully helpful in the investment of money in my business, in the amounts specified above.

Confirmation and Submission

Certification of Accuracy*
MM slash DD slash YYYY