SSBCI Technical Assistance Provider Inquiry - Connecticut Innovations Connecticut Innovations

Technical Assistance Provider Program

The SSBCI Technical Assistance Program will allow CI to contract with eligible Technical Assistance (TA) providers to financially support their efforts in providing quality legal, accounting and financial advisory services to SEDI-owned companies and VSBs.

Company Information

Legal Company Name(Required)

Company Address(Required)

Contact Name(Required)

Email Address(Required)

Phone Number(Required)

Federal ID#(Required)

Do not enter dash

NAICS Code(Required)

Connecticut State Tax ID#(Required)

Type of Entity (LLC, C-Corp, Inc., etc.):(Required)

Each applicant may be either a nonprofit or for-profit entity (not an individual) and must meet at least one of the following criteria. Please select all of the following criteria that apply to your entity:(Required)

A primary purpose of the entity or a central part of the entity’s mission is to provide legal, accounting and/or financial advisory services.

The entity regularly markets or publicizes itself as providing legal, accounting and/or financial advisory services.

At least 25 percent of the entity’s revenue or staff are dedicated to providing legal, accounting and/or financial advisory services.

Which services does your entity provide?(Required)

Legal services

Accounting services

Financial advisory services

Company Overview

Upload a brief description of the history and organizational structure of the company.(Required)

Max. file size: 50 MB.

Key Personnel

Provide the following information for each key individual who would be specifically tasked with providing services relevant to the specified focus area. Please note that key personnel may be subject to a background check.

Name(Required)

First Last

Title/Position with Company(Required)

Number of Years with Company(Required)

Resume/CV(Required)

Drop files here or

Max. file size: 50 MB.

Name(Required)

First Last

Title/Position with Company(Required)

Number of Years with Company(Required)

Resume/CV(Required)

Drop files here or

Max. file size: 50 MB.

Signature of person submitting form(Required)

Printed Name(Required)

Title(Required)

Today's Date(Required)

CAPTCHA

Any questions or concerns, contact elizabeth.skrabl@ctinnovations.com

Phone

General Inquiries 860.258.7858
Main Office 860.563.5851

Email

info@ctinnovations.com

Address

470 James Street, Ste 8
New Haven, CT 06513

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