diversity vendor form

Contact Information

Type of Business

Please check at least one:

 PROFESSIONAL SERVICES/CONSULTANT - any person/business that uses the specialized intellectual knowledge of its personnel to deliver customized expert services to clients. Examples include Information Technology, Training, Financial, Public Relations, Advertising, Legal and other miscellaneous Professional Services.
 BUSINESS SERVICES - A person (or concern) engaged in basic services that do not specialized intellectual knowledge.
 MANUFACTURER/PRODUCER - A person (or concern) owning, operating, or maintaining a factory or establishment that produces on the premises, the materials, supplies, articles, or equipment generally sold to the public in the usual course of business.
 STOCKING DISTRIBUTOR - A concern who owns, operates, or maintains a warehouse, store, or other establishment in which the materials, supplies, or equipment generally bought, are kept in stock and sold to the public in the usual course of business.
 NON - STOCKING BROKER - A person (or concern) who represents manufacturers or producers but does not maintain an establishment other than an office. Does not take possession of and/or deliver goods in the usual course of business.

Capabilities

List the specific commodities/services you are capable of providing (maximum of 2000 characters).

Type of Ownership

Check all that apply:

 MINORITY OWNED AND OPERATED (51percent owned and operated by an Ethnic Minority - self certified)
 MINORITY BUSINESS ENTERPRISE (MBE) (If you are an Ethnic Minority and a male or female, check this category)
 WOMEN BUSINESS ENTERPRISE (WBE) (Do not check this category if you are an Ethnic Minority)
 DISADVANTAGED BUSINESS ENTERPRISE (DBE)
 SMALL BUSINESS ADMINISTRATION (SBA) (8(a) only)