Supplier Diversity Survey

BEC Business Profile Survey
Required Required Question(s)
Required

Business Profile
First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required

Company Type:
Sole Proprietor
Joint Venture
Partnership
Limited Liability Company(LLC)
Corporation
Non Profit
Other  
Required

Certifications:
Small Business Administration (8A)
Small, Local and Emerging Business (SLEB)
Minority Business Enterprise( MBE)
Disabled Veteran Business Enterprise (DVBE)
Historically Underutilized Business (HUB)
Women Business Enterprise(WBE)
Disabled Person Business Enterprise(DPBE)
Required

Year Established:
 

  • 50 characters left.
Required

Primary Business:
Manufacturer
Distributor
Construction
Maintenance
Food Provider
Service Provider
Other  
Required

Primary NAICS/SIC Codes:

 

  • 50 characters left.
Required

Business Description:
 

  • 1000 characters left.
Required

Service Capacity:
Local
Regional
National
International
Required

Does your company have a Quality Control Program?
 

  • 350 characters left.
Required

Does your company possess all needed licenses and permits required by local, state, or federal authorities?
 

  • 350 characters left.
Required

Is your business certified as a Minority Business Enterprise? If so which agency and what is the expiration date of your certification?
 

  • 1000 characters left.