Supplier Academy Registration

Focusing on Growth

Candidates interested in participating in the NCAABA Supplier Academy will be selected based upon weighted criteria including:

Completed Application
Capacity to bid on corporate contracts
Previous experience as 1st or 2nd tier supplier
Geographic footprint
Operational and organizational development management
Demonstrated leadership in community

Extra points will be given to suppliers that are also board members of Asian business non-profits on the NCAABA council.

There is no application fee.

If you are admitted to the Academy, the tuition is $500 (tax-deductible).

A limited number of scholarships are available. If you are interested, please let us know which Strategic Alliance Partner organization you are an active member of in the comments section.

For additional inquiries, please call: (909) 859-5354.

*Select Supplier Academy:

Office Information:

*Address:

*City:

*State:

*Zip:

*Office Phone:

*Cell Phone:

Fax:

*Email:

*Website:

Home Phone:

*Are there multiple business locations?
Yes No

Business Information

*Provide brief description of business and three key facts:

Brochure (if any)

(word or pdf format)

*Type of product/service :

*Are you available to commit to a 12-month agreement? This is in case corporate sponsors want to enter mentor/protege program or offer a contract to supplier applicant if they are in need of your product or service.
Yes No

*Please list your Association memberships, board seats (particularly Asian or W/MBE organizations). Enter "none" if you are not part of any associations:

*Business Certifications (WBENC, NMSDC, 8(a), State, Local etc). Enter "none" if you do not have any business certifications:

*Please list any major corporations or primes you have done business with previously and for what type of work. Enter "none" if you have not done business with major corporations:

Please provide 2 client references:

Client Reference 1		Client Reference 2
*Name:		*Name:
*Title:		*Title:
*Company Name:		*Company Name:
*Address:		*Address:
*City:		*City:
*State:		*State:
*Zip:		*Zip:
*Phone:		*Phone:
*Email:		*Email:

Do you have policies and procedures for the following areas?

*Procurement

Yes No

*Billing Systems

Yes No

*Forward Pricing Rates

Yes No

*Accounting

Yes No

*Budgeting

Yes No

*Cost Estimating

Yes No

*Human Resources

Yes No

*Time Keeping

Yes No

Annual gross revenue of your business:

*2006 $

*2007 $

*2008 $

History

*Have you or a business you own(ed) or manage(d) ever filed for bankruptcy?
Yes No

*Have you ever been under indictment?
Yes No

*Have you ever been convicted for the commission of a felony?
Yes No

*To the best of my knowledge, I attest that the information contained on this form is true.
Initials:

*Do you agree to attend mandatory training upon acceptance into the program:
Yes No

*Lastly, how did you hear about the NCAABA Supplier Academy?

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Testimonials

"At a time in our nation's history when creative and efficient economic development is needed the most, the NCAABA Supplier Academy continues to provide invaluable resources and opportunities for diverse minority businesses to come together and expand their business prospects.

NCAABA is a powerful and necessary voice for the Asian American business community and I am honored to welcome the 2010 Supplier Academy to California."

-- Acting Lt. Governor Pasquil