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California STEP
State Trade Expansion Program
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ICEP
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Part I
Name and Contact of Your Company
Company Name:
*
Industry
*
Aerospace
Chemicals
Defense & Security
Design & Construction
Education
Energy & Environment
Export Facilitiation Services
Ground/Maritime Transportation
Health & Medical
ICT & Services
Machinery & Equipment
Media & Entertainment
Processed Foods
Professional Services
Textiles Advanced
Travel & Tourism
Contact Name
*
First
Last
Title:
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Fax
Email
*
Export Experience of Your Firm
*
New-to-Export (little or no export experience, or have not exported in past 24 months)
Market Expansion (expanding into new country, region or market segments)
Please indicate your level of export experience
Export Success Details
Company Name:
(Optional)
Industry
Aerospace
Chemicals
Defense & Security
Design & Construction
Education
Energy & Environment
Export Facilitiation Services
Ground/Maritime Transportation
Health & Medical
ICT & Services
Machinery & Equipment
Media & Entertainment
Processed Foods
Professional Services
Textiles Advanced
Travel & Tourism
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Assistance Provided
*
Trade Counseling/Promotion
Market Intelligence
Business Matchmaking
Trade Show Participation
Trade Mission
Date of when assistance was provided:
Date Format: MM slash DD slash YYYY
Name of Event or Activity
*
1. Outcome Achieved
Sale of a Product or Service
Signing a Commercial Agreement
Establishment of a Physical Foreign Presence
Securing Foreign Publicity of U.S. Exporter
1. Date of Outcome
Date Format: MM slash DD slash YYYY
Market (Country or Region) of Export Success
Initial Export Sales Resulting from Activity
Projected Export Sales
The amount of sales expected over the next 12 to 18 months resulting from the activity
2. Outcome Achieved
Sale of a Product or Service
Signing a Commercial Agreement
Establishment of a Physical Foreign Presence
Securing Foreign Publicity of U.S. Exporter
2. Date of Outcome
Date Format: MM slash DD slash YYYY
Initial Export Sales resulting from participation in STEP Activity
3. Outcome Achieved
Sale of a Product or Service
Signing a Commercial Agreement
Establishment of a Physical Foreign Presence
Securing Foreign Publicity of U.S. Exporter
3. Date of Outcome
Date Format: MM slash DD slash YYYY
3. Outcome Value (USD)
Projected Export Sales
Export sales expected over the next 12 to 18 months
Jobs Impact
*
New staff hired due to export expansion
Exports assisted in avoiding layoffs or staff reduction
Our firm plans to hire new staff due to export expansion
No Change in employment / no change expected
The effect on creating or retaining jobs, in connection with your export activities, and related to participation in the STEP program
Number of Staff hired due to export expansion
Please enter a number from
0
to
100
.
Number of employees retained (avoided layoff):
Please enter a number from
0
to
100
.
Number of staff you plan to hire as a result of export expansion
Please enter a number from
0
to
100
.
Total U.S. Dollar Value of Outcomes:
$0.00
Part II
Client Verification Statement
The California STEP program provided assistance that helped achieve the following outcome(s):
Verification Signature
*
Check box for signature
"I hereby certify that all the information provided in this document, as well as any accompanying documents, are true and complete."
Verification of business or personal information is voluntary. All business or personal information verified will be protected to the extent permitted by the Privacy Act of 1974 and the Freedom of Information Act of 1966. Aggregate data from information verified by companies will be used to report California STEP results to the U.S. Small Business Administration and the public. Please return the signed (check marked) document to California STEP in the cover letter or the eMail address.
Comments
Funded in part through a Grant with the U.S. Small Business Administration.
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