First Name (Nominator)
Last Name (Nominator)
Email (Nominator)
Nomination Type
Please select...
Self-nomination
Nominating another business
Business Name
First Name
Last Name
Phone Number
(XXX)-XXX-XXXX
Business ownership is 51% minority-, women-, or veteran-owned and that owner has primary responsibility for managing day-to-day operations.
Yes
No
Address Line 1
Address Line 2
City
State
Zip Code
Number of Employees
Years in Business
DUNS Number
SAM/CAGE Number
List your NAICS Code (in order of highest to lowest based on revenue generation).
Do you have experience using VSS, SuSS, BidNet and/or any other procurement platforms? Please explain.
Describe a project in which you invested time, human resources and funds that resulted in great success for your company. What was your role in the project?
Do/did you participate in the development of the content of your website, brochures, marketing materials, proposals, etc? Please explain.
Have you worked with a government agency before (federal, state, local)? If so, please describe your experience and any ongoing efforts.
Have you worked with a corporation before (Fortune 100/500 or publicly-traded)? If so, describe your experience and any ongoing efforts.
What are some of the greatest challenges you’ve faced while pursuing government or corporate work?
What sort of assistance have you received and/or sought from local resources, if any?
Are you willing and able to commit to this program for its six-month term, including virtual monthly meetings and virtual and/or in-person consulting (approx: 3-4 times)?
Yes
No
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