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* 1. ENTER COMPANY INFORMATION


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* 2. ENTER PRIMARY CONTACT INFORMATION
This contact will be used for communication during the application processing 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.

You will be able to change this contact upon your membership renewal. 


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* 3. Do you want this contact to be added to our database to access the list of certified WBEs? 

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* 4. ENTER SECONDARY CONTACT INFORMATION
Contact of a person who will be the back-up contact for WBE Canada in case Primary Contact is away or unavailable.

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* 5. Do you want this contact to be added to our Mailing List to receive updates about initiatives and opportunities at WBE Canada?

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* 6. Do you want this contact to be added to our database to access the list of certified WBEs?

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* 7. WBE Canada 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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* 8. If "Other", please let us know the name, Title, Phone & Email of the person you want us to publish.

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* 9. Other Member Profile Information

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* 10. What type of products/services does your organization sell/offer?

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* 11. What type of products/services does your organization primarily buy?

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

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* 13. May WBE Canada link to your social media platforms?

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* 14. Add links to the accounts you agree for us to link to.

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* 15. Will you link your supplier information page on your website to wbecanada.ca? 

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

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* 17. Do you want this contact to be added to our general communications list (newsletter)? 

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

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* 19. If you answered "No" would you like us to work with you to create a supplier diversity program?

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* 20. If you answered "Yes", do you...

  Yes No Not Applicable
...require diverse suppliers to have third-party certification?
...include women-owned businesses among your diverse suppliers? 
...currently accept WBE Canada certification? 
...accept other certifications for diverse suppliers?

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

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

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

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

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

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* 26. 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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* 27. CORPORATE MEMBERSHIP INFORMATION

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* 28. What type of events and opportunities are you interested to attend, support or sponsor? (Select ALL that apply)

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

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* 30. Membership dues (Select what applies) 

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* 31. 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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* 32. Contact information
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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* 33. Is there anything else you want us to know as we process your application?

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* 34. Today's date

Date 

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* 35. Authority

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* 36. Name of the person filling out the form

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