Please complete the form below. In order to prepare a Scope of Work, and be able to address your needs as soon as possible, please answer these questions to the best of your ability, thank you! First Name * Last Name * Position Agency/Organization * Email * Phone * Cell Phone Type of Consultation (check all that apply) * Self-Evaluation & Transition Plan Architectural Plan Review ADA and Accessibility Project Management Other... Type of Consultation (check all that apply) Other... Project/Service Desired Start date (if known) Year Year20222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Project/Service Desired Completion date (if known) Year Year20222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Project/Service Location (please be as specific as possible) * Project/Service Length of time (# of hours, # of days, etc) Do you have a budget for this consultation? * Yes No Not Sure/TBD Approximate Budget (if known) $ Reasonable accommodation requests (please write “N/A” if no accommodations are needed) * Other Comments/Questions Leave this field blank