Private Sector Needs Assessment

Request Form

(Startup / Business / Nonprofit)

This form is for community members that operate within the private sector as new or established businesses and nonprofits to submit their contact information to the Chris Florquist campaign to initiate the Community Needs Assessment process.

Step 1 of 2

  • *First and Last name entries are required.
  • Type or scroll to find your County
  • Type or scroll to find your State/Territory
  • Type or scroll to find your Community
  • By completing and submitting this form, you acknowledge and accept our Privacy Policy, Terms & Conditions, and Webinar Release and Waiver.
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paid for by the committee to elect chris florquist president