COMPANY PROFILE

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* 1. Company Information

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* 2. Other Information

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* 3. Information for suppliers

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* 4. May we feature public information from your website to describe your company in our database?

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* 5. Marketing Contact Information. Best contact for logo, marketing collateral, website updates, press releases, etc.

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* 6. Do you want this contact to be added to our general communications list (newsletter) for updates on upcoming events and opportunities?

CONTACT INFORMATION

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* 7. Primary Contact Information. This contact will be used for communication during the application process and on-boarding. This contact will also be a primary representative of the organization at the WBE Canada's Annual Members Meetings and be added to our exclusive Corporate Member email list to keep you informed about upcoming events, latest updates and opportunities.

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* 8. Secondary Contact Information. Provide information for person assigned as the back-up contact in case Primary Contact is away or unavailable.

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* 9. Which of the following do you want this contact to be added to? (Select ALL that apply)

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* 10. WBE Canada's database allows our WBEs to view only ONE contact for each Corporate Member. Who should be listed as the primary contact for your company in the online WBE Canada database? All our certified WBEs will see this information.

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* 11. If "Other", please let us know the name, title, phone & email of the person you want us to publish.

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* 12. As a WBE Canada Corporate Member, you can add multiple buyers to our database. We provide this service as required. Are you interested in adding multiple buyers to the database?

SUPPLIER DIVERSITY PROGRAM OVERVIEW

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* 13. Do you currently have a supplier diversity program for Canadian women-owned businesses?

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* 14. Would you like us to work with you to create or improve your supplier diversity program?

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* 15. Do you / Do you plan to... (Select ALL that apply)

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* 16. What was your diverse spend with Canadian certified WBEs in your last fiscal year?

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* 17. How many certified WBEs did you purchase from in your last fiscal year?

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* 18. Are you looking to increase your spend with Canadian WBEs in the upcoming year?

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* 19. Do you currently track tier 2 and/or tier 3 diversity spend in your organization?

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* 20. How many of your tier 1 suppliers track and report their diverse spend?

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* 21. Are you planning to start tracking tier 2 and/or tier 3 diversity spend in your organization in the next 12 months?

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* 22. Do you / will you link your supplier information page on your website to wbecanada.ca?

CORPORATE MEMBERSHIP / BILLING INFORMATION

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* 23. What type of events and opportunities are you interested in attending, supporting or sponsoring? (Select ALL that apply)

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* 24. Can you provide in-kind support to WBE Canada in the upcoming year?

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* 25. Membership dues (Select what applies) 

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* 26. I UNDERSTAND THAT THIS APPLICATION IS CONSIDERED A COMMITMENT AND THAT MY CORPORATION WILL START RECEIVING MEMBERSHIP BENEFITS ACCORDING TO THE DATE MY APPLICATION IS RECEIVED.

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* 27. Billing Contact. Who in your organization will be our go-to person for invoicing and payment processing? This contact will NOT be added to any distribution list.

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* 28. Additional Comments about invoicing and payment processing

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* 29. Is there anything else you want us to know as we process your application?

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* 30. Today's date

Date 

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* 31. Authority

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* 32. Name of the person filling out the form

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