Canisius College

Student Consulting Partnerships
Application for Consulting Assistance

Business Name:
Business Address:
Website:
Contact Person Name:
Title:
Email Address:
Phone:
Fax:
How did you hear of our program?

Number of:		full time employees
		part time employees

Annual revenue or budget:
Current Year		$
Next Year		$

Small Businesses Only
Is this a woman-owned business? yes no
Is this a minority-owned business? yes no

Not-for-Profit Organizations Only
To be considered for the SCP program, your organization must have discussed this with representatives from your Board of Directors.

Are representatives from your Board of Directors aware you are applying for this program?
yes no

If your company is selected and qualifies as a public charity, you must provide a copy of your 501(c)(3) determination letter.

Please describe the issue with which your company needs assistance in less than 250 words, and include the following:

your primary products or services
the specific business issue(s) for which you are seeking assistance
company goals, as they relate to the problem

To apply online, enter this information in the box below, and click on the submit button.

To apply by mail, print and complete this application (Adobe Acrobat PDF). On a separate sheet of paper, describe the issue with which your company needs assistance according to the parameters above. Mail to:

CSCP Coordinator
Canisius Amherst Conference Center
300 Corporate Parkway
Amherst, N.Y. 14226

Canisius Student Consulting Partnerships