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Submit a Request | Leveraged Project
Leveraged Assistance Request Form
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Company Name
Year incorporated or started
Contact Name
Contact Title
Address
City
County
State
Zip Code
Phone
Fax
Email
Lab contact (if known)
Lab Preference
SNL
LANL
No Preference
Lab Affiliation
Do you, any member of your family, and/or any employee or owner have an affiliation with SNL or LANL?
Yes
No
Eligibility
My company is U.S. owned and operated (not foreign owned or controlled)
My company pays/files gross receipts taxes to the State of New Mexico
My company is located in New Mexico
My company is a for-profit business
My company is a small business per the US SBA guidelines
My company is not a subsidiary
Please review the
US SBA guidelines
prior to answering
Leveraged Project Title
Lab Referral
How did you hear about the NMSBA program?
Lab Assistance Requested
What resources would you like to utilize for your project?
Economic Impact
Do you think your project will result in:
Attracting funding/financing
Improvements in efficiency
Cost avoidance
Improvements in a product
Creation of a new product/market
Increasing or improving workforce skill level
Creating or retaining jobs
Increasing production
Decreasing operating or production costs
investment in NM goods and services
Submit Application
