Request Services

To request services please complete the form below.

All information is confidential.

Name of Organization *REQUIRED*

IRS Tax Exempt Number (EIN) *REQUIRED*

Organization Street Address *REQUIRED*

City, State, ZIP *REQUIRED*

Telephone Number *REQUIRED*

Website Address *REQUIRED*

Name and title of person making request *REQUIRED*

Telephone number of person making request *REQUIRED*

E-mail address of person making request *REQUIRED*

Name of Executive Director *REQUIRED*

Name of Board Chair *REQUIRED*

Annual Operations Budget *REQUIRED*

Number of clients serviced last year *REQUIRED*

Briefly describe the reason the management assistance is needed *REQUIRED*

How did you hear about DESC? *REQUIRED*

If you chose Other, please explain

If you were referred to us by another organization, please list the organization's name

Please select the service or services from the list below.

Management Improvement

Leadership Development

Financial Management – Solutions Program

Building Strategic Alliances

Upon completion of this form a DESC staff member will contact you to discuss your request.

16250 Northland Dr. Suite 390 • Southfield, MI 48075 • Phone:: 248.395.2840 • Fax:: 248.395.2844 • info@esc-detroit.org • Privacy Policy