Pre-Application/Inquiry for DC Collaborative Program Survey

1.Business Contact Information(Required.)

Legal Company Name

DBA Name (if applicable)

Physical Business Address (including City, State, Zip)

Mailing Address

Business Phone Number

Primary Contact Person Name

Primary Contact Person Title

Primary Contact Person Email

Primary Contact Person Phone #

Second Point of Contact Person Name

Second Point of Contact Person Title

Second Point of Contact Person Email

Second Point of Contact Person Phone #

2.Please select your primary NAICS code from the dropdown menu.(Required.)

Other (please specify)

3.Please select an additional NAICS code from the dropdown menu.

Other (please specify)

4.Please select an additional NAICS code from the dropdown menu.

Other (please specify)

5.Please select an additional NAICS code from the dropdown menu.

Other (please specify)

6.Please select an additional NAICS code from the dropdown menu.

Other (please specify)

7.What is your three-year average revenue?(Required.)

Under $500,000

$500,000 - $1,000,000

$1,000,000-$5,000,000

More than $5,000,000

8.What year was the company founded?

9.Number of FTE employees.

10.Number of 1099 contractors.

11.Disclaimer Statement: I understand that completion of this pre-application/inquiry and participation in the DC Collaborative does not guarantee any contracts or direct bid opportunities.(Required.)

Agree

Disagree