Client Intake Form — WyoGrads, LLC

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Federal Employment Profile

Full Name *

Email *

Phone

Home State *

Federal Agency *

Position / Grade *

Years of Federal Service

Security Clearance

Financial Disclosure Form

Supervisory, contracting, or procurement authority?

Regular contact with or oversight of private sector entities?

Business Concept

Describe the service or business you want to start *

Target clients

Have any target clients had federal contracts in the past 3 years?

Would you advise on federal regulatory, procurement, or policy matters?

How did you develop this expertise?

Current Status

Have you already started the business in any form?

Describe current status

Have you submitted an outside employment approval request?

Approval outcome

Has your agency expressed concerns about outside employment?

Aware of supplemental ethics regulations specific to your agency?

Describe if known

Entity & Structure Preferences

LLC structure preference

Privacy concerns about name appearing in public records?

Intend to take on partners or investors?

Assets to protect in a holding structure?

Describe the assets

Target launch date

Goals & Timeline

Revenue goal — first 12 months

Hours per week available

Business intent

Biggest obstacle between you and launching today

How did you find WyoGrads?

Anything else we should know?

By submitting this form, you confirm the information is accurate. You will be directed to complete your Package 1 payment to begin your assessment.

Full Name (as signature) *

Date