Certification Intake Form "*" indicates required fields Full Name* Full Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraƧaoCyprusCzechiaCĆ“te d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRĆ©unionSaint BarthĆ©lemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTĆ¼rkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweĆ land Islands Country Phone Number*Are you a US Citizen?* Yes No Do you currently own a Business? Yes No Are you an LLC, S-Corp, C-Corp or DBA? Yes No Company Website if available Are you at least 51% controlling interest in your business? Yes No What Type of Business Owner: (List all that apply) Women LGBTQ Small Business Which Certifications are you interested in? MBE WBE SBE WOSB DBE MBE: Certification stands for Minority Business Enterprise certification. It is a designation given to businesses that are at least 51% owned, operated, and controlled by minority group members. These group members typically include individuals who are African American, Hispanic American, Asian American, or Native American. The certification is used to help minority-owned businesses gain access to corporate and government contracts, as it demonstrates their status as a minority enterprise, making them eligible for certain set-aside programs and diverse supplier relationships. This can lead to increased business opportunities and networking within specific markets.Untitled* Done-For-You Done-With-You Not Sure WBE: Certification stands for Women and Minority Business Enterprise certification. It is awarded to businesses that are at least 51% owned, managed, and controlled by women and/or minority group members. The purpose of this certification is to promote diversity and inclusion in the business world by allowing these enterprises better access to corporate and government contracting opportunities. Organizations or government agencies often have diversity goals or set-aside programs, and WMBE-certified businesses can significantly benefit from these initiatives. This certification can help enhance visibility, increase business opportunities, and foster partnerships with companies looking to diversify their supplier base.Untitled* Done-For-You Done-With-You Not Sure SBE: Certification stands for Small Business Enterprise certification. It is designed for businesses that meet specific size standards, often based on the number of employees and annual revenue, as defined by the certifying body or government agency. The goal of SBE certification is to support the growth and development of small businesses by providing them access to opportunities that might otherwise be dominated by larger corporations. With this certification, small businesses can become eligible for set-aside programs, receive preferential consideration in contracting, and gain increased visibility in competitive markets. This helps level the playing field, allowing small businesses to compete more effectively for contracts and partnerships with larger entities and government agencies. Untitled* Done-For-You Done-With-You Not Sure WOSB: The Women-Owned Small Business (WOSB) Certification is a government program designed to promote the growth of small businesses owned and operated by women. This certification enables eligible businesses to compete for federal contracts specifically set aside for women-owned businesses, helping to increase their visibility and opportunities in the marketplace. To qualify, a business must be at least 51% owned, controlled, and operated by one or more women. Obtaining this certification can enhance a business's credibility, networking opportunities, and access to federal and private sector contracting programs aimed at supporting women entrepreneurs. Untitled* Done-For-You Done-With-You Not Sure DBE: The Disadvantaged Business Enterprise (DBE) Certification is a program aimed at promoting equal opportunities for small businesses owned by socially and economically disadvantaged individuals, including those owned by women, minorities, and disabled persons. This certification allows eligible businesses to participate in federally funded projects, particularly in the transportation sector, where a certain percentage of contracts are set aside specifically for DBEs. To obtain DBE certification, a business must meet specific criteria related to ownership, control, and income levels. Achieving DBE certification can provide valuable advantages, including increased access to contracting opportunities, resources for business development, and assistance from government agencies and prime contractors in navigating the competitive landscape. Untitled* Done-For-You Done-With-You Not Sure