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* 1. Please fill out the information below:

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* 2. Industry Type:

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* 3. How many years has your company been a member of the MDCE?

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* 4. Chief Procurement Officer Name:

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* 5. Supplier Diversity Director/Manager/Coordinator:

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* 6. What is your company's total annual revenue?

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* 7. What is your company's total annual AZ spend?

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* 8. How many MBE Tier 1 firms are active in your supply chain?

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* 9. How many MBE Tier 2 firms are active in your supply chain?

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* 10. How many WBE Tier 1 firms are active in your supply chain?

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* 11. How many WBE Tier 2 firms are active in your supply chain?

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* 12. How many Veteran-owned (VOSB or SDVOSB) Tier 1 and Tier 2 firms are active in your supply chain?

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* 13. Do you gather data on disability-owned business enterprises (DOBEs) in your supply chain?

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* 14. Do you gather data on LGBT-owned business enterprises in your supply chain?

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* 15. Supplier Diversity Memberships/Affiliations (check all that apply)

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* 16. ARIZONA Diverse Spend: Please provide dollar amount expended with diverse suppliers (Arizona based) during 2020 (or your most recent fiscal year) in Column A. If available, please complete column B, and then calculate C. (Please refer to the image above).

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* 17. List initiatives that led to the success of the Arizona Supplier Diversity Program:

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* 18. List one or more local success stories:

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* 19. List any challenges facing your program/initiative in Arizona:

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