Voluntary Supplier Identification Survey

    Company Contact Information:

    Primary Contact Information:

    Supplier Diversity Information:

    *A Diverse Supplier means that 51% (or more) of the company is owned and controlled by individual(s) who are: Aboriginal/Native American person(s); Visible Minority person(s); Persons with disabilities; Women; Lesbian, Gay, Bi-Sexual, and/or Transgender owned, Veteran Owned.

    Check all that apply:


    ABE – Aboriginal Business EnterpriseVMBE – Visible Minority Business EnterpriseWBE – Women Business EnterpriseLGBT – Lesbian, Gay, Bi-Sexual and Transgender

    United State:

    MBE – Minority Business EnterpriseWBE – Women Business EnterpriseDOBE - Business Enterprise Owned by People with DisabilitiesVBE – Veteran-owned Business EnterpriseDVBE – Disabled Veteran Business Enterprise