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Outreach Request Form

Thank you for your interest in the Brampton Entrepreneur Centre Small Business Outreach Services. Please complete and submit the request form below, and a staff person will contact you to discuss your request in further detail.

Please note that we require 4 weeks advance notice in order to book an outreach session.

Priority will be given to community organizations working directly with entrepreneurs and small businesses.

Once you have submitted the outreach request form online, a staff person will review the request and contact you within 2 business days to discuss the event details, and to advise if the Brampton Entrepreneur Centre will be able to accommodate your request.

Please note: The fields marked * are mandatory.

Organization Information

Name of Organization*

Please enter the required information.

Address*

Please enter the required information.

City*

Please enter the required information.

Province*

Please enter the required information.

Postal Code*

Please enter a valid postal code

Organization Type*

Please enter the required information.

If Other, please specify

Please enter the required information.

Organization's Staff Contact Information

First Name*

Please enter the required information.

Last Name*

Please enter the required information.

Title/Position*

Please enter the required information.

Email*

Please enter a valid email

Phone Number*

Please enter a valid phone number

Will the Staff member be available on the day of the event, in the case that BEC staff may require assistance?*

Please enter the required information.

Event Information

Type of Service Requested*

Please enter the required information.

Name of Event*

Please enter the required information.

Date of Event*

Please enter the required information.

Time of Event*

Please enter the required information.

Event - Address*

Please enter the required information.

Event - City*

Please enter the required information.

Event - Province*

Please enter the required information.

Event - Postal Code*

Please enter a valid postal code

Expected Attendance for the Event*

Please enter the required information.

Event Description*

Please enter the required information.

Additional Information

Please advise how reservations will be taken for the event*

Please enter the required information.

Audience Attending Event (Select All that Apply)*Youth and Students (16 to 29)New CanadiansUnemployed / In Search of WorkGeneral

Please enter the required information.

Is there a cost for the City of Brampton?*

Please enter the required information.

If yes, how much?

Please enter the required information.

Will your organization be providing all required equipment for BEC staff to use on the day of the event?*

Please enter the required information.

Have you worked with the Brampton Entrepreneur Centre before?*

Please enter the required information.

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Privacy Statement

Personal information is being collected under the authority of the Municipal Act. The information will only be used to communicate with you regarding your inquiry. Questions about this collection may be directed to Service Brampton by calling 311 (within Brampton city limits) or 905.874.2000 (outside city limits). Please review the City’s Privacy statement for more information.