* Name of Firm:
Number of Employees:
Industry of Firm:
NAICS or SIC Code:
* Name(s) of Applicant:
* Mailing Address:
* Work number:
Mobile Number:
* Email:
Do you currently have a web site? If yes, what is the web address?
Yes
No
If no, would you like us to assist you in creating one? Contact Byte Technology for a preferred NCAABA member rate.
Number of Years in Business:
Please briefly describe the product or service your business provides.
What is Your Geographic Coverage? (local, regional, national)
local
regional
national
Estimated Annual Revenue [Provide ranges, i.e., under $1 million, $1-10 million, $10-50 million, $50-$100 million, etc. in drop down, optional selection}
under $1 million
$1-10 million
$10-50 million
$50-$100 million
Are you currently certified as a Minority Business Enterprise?
Yes
No
What certifying body conducted your certification?
Is your business Asian American Pacific Islander (with at least 51% operational ownership by an Asian)?
Yes
No
Does your business have 8A or SDB certification?
8A
SDB certification
none
How did you find out about NCAABA?
Would you like to receive updates about Procurement Opportunities and the Email Newsletter from NCAABA?
Are you a member of any Asian Business Organizations in our alliance network? If so, which ones? NOTE: IF YOU ARE PART OF ANY OF OUR ALLIANCE ORGANIZATIONS, YOUR MEMBERSHIP FEE IS WAIVED.
Asian American Justice Center: Washington D.C.
Asian Business Association of Silicon Valley: California
Asian Inc. of San Francisco: California
Asian Pacific American Scholarship Fund: Washington D.C.
Black Chamber of Commerce of Silicon Valley: California
Business Women's Network: Washington D.C.
Congressional Asian Pacific American Caucus: Washington D.C.
Council of Asian American Business Associations: Northern CA
Filipino American Chamber of Commerce of Orange County: CA
Filipino Chamber of Commerce: Hawaii
Greater Dallas Asian American Chamber of Commerce: Texas
Hispanic Chamber of Commerce of Silicon Valley: California
Hmong National Development: Washington D.C.
Latin American Management Association: Washington, D.C.
NANAY: Florida
National Black Business Council: Los Angeles
National Black Chamber of Commerce: Washington D.C.
Organization of Chinese Americans of South Florida: Florida
The Minority Business Development Agency: Washington, D.C.
United States Asian Business Council: Illinois
Vietnamese American Professional Women: California
Which corporate or government entity are you most interested in obtaining contracting opportunities that NCAABA may outreach to for you?
Are you interested in volunteering, being a board member, chairing, or being on any of our committees?
What is the best way NCAABA can assist your firm or organization?
Would you like to receive our Asian Business Community Wire and e-newsletter?
Yes
No
Can we share information about your firm to corporations with contract opportunities?
Yes
No
Comments:
Your application will be processed once we receive payment. Thank you!