NH EDU EEF Questionnaire Institution Name*Contact Person*Email Address* Institution Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone NumberWebsite Year EstablishedNumber of Employees Worldwide*Company Description*North American Industry Classification System (NAICS) Code(s)*To confirm your NAICS code, please check the table provided by the U.S. Census Bureau here: NAICS CodesDesired Service or ProgramEducation Event/FairGold Key MatchmakingInitial Market CheckInternational Partner SearchOther / Not SurePlease Indicate your Desired Service or QuestionDesired CountryRequested Date of Completion for Service Is Your Institution... New to Export? New to this Market? What Type of Relationship are you Seeking? Agent Joint Venture Background Report Other Please ExplainName/Title of Institution Representative(s) Requesting Program(if different from company contact)Primary Majors/Initiatives to be Marketed as Part of this Service/ProgramDo you have senior leadership buy-in for this initiative?*YesNoIf yes, who and title?*Why will This Program or Service be Beneficial to your Institution and its Export Growth? I certify that all information that is provided on this application is true to the best of my knowledge and that I am an authorized representative of the company.* I Agree I agree to provide feedback to the New Hampshire College and University Council and its partners on projected export sales resulting from this program. I accept the terms of the New Hampshire Export Expansion Fund which includes potential follow-up contact from partners. I agree to potential media coverage of my company’s participation in the EEF program.* I Agree NameThis field is for validation purposes and should be left unchanged.