Babson College Supplier Diversity Program Application
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| Company Information |
| Company Name: |
| Street address: |
| City: |
State: |
ZIP Code: |
| Phone: |
Fax: |
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| Company Website URL: |
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| Contact Person |
| Name: |
| Phone: |
E-mail: |
| General Company Information |
| Type of Business (Manufacturer, Distributor, Service, Other) |
| Categorize the Products or Services offered by your company. Check all that apply: |
| Professional Services |
Staffing |
Janitorial Services & Supplies |
Construction |
Medical Supplies |
Printing |
| Consulting Services |
Furniture |
Marketing/Promotional |
Information Technology |
General Products |
Catering |
| Procurement Services |
Other, Please specify: |
| Describe your company's product or service. |
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| List NAICS Product Code(s) |
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| Are you a member of a Group Purchasing Organization? |
No |
Yes |
If yes, indicate which one: |
| What percentage of your company sales is within education? |
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| Supplier Diversity Information |
| A Minority Business Enterprise is defined as a company that is at least fifty-one percent (51%) owned, managed and controlled by one or more of the following. Please indicate which minority category you would be recognized. |
| Need List |
| Is your company a Minority Business Enterprise? |
No |
Yes |
If yes, explain: |
| To be recognized through the Supplier Diversity program, companies must be certified through an official certification agency. For details, please contact either of the following agencies directly: |
| NMSDC Certification |
WBENC Certification |
| Regional Council: |
Regional Council: |
| Certificate Number: |
Certificate Number: |