SBSS Pre-Award Small Business Contractor Assistance: Intake Form

GENERAL INFORMATION

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* 1. COMPANY INFORMATION

COMPANY NAME

COMPANY ADDRESS

COMPANY ADDRESS 2

COMPANY CITY

COMPANY STATE

COMPANY ZIP/POSTAL CODE

WEBSITE

COMPANY PHONE NUMBER

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* 2. CONTACT INFORMATION

NAME

EMAIL ADDRESS

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* 3. BUSINESS LOCATION(S)?

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* 4. LENGTH OF TIME IN BUSINESS

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* 5. HOW IS YOUR BUSINESS SET UP?

SOLE PROPRIETOR

S CORP

C CORP

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* 6. TOTAL # OF EMPLOYEES

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* 7. DO ANY EMPLOYEES BELONG TO A UNION?

Yes

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* 8. CONTRACTOR LICENSES NO.

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* 9. LIST OF SERVICES YOUR COMPANY PROVIDES

SERVICES 1

SERVICES 2

SERVICES 3

SERVICES 4

SERVICES 5

SERVICES 6

SERVICES 7

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* 10. How did you hear about SBSS?

SBSS Direct One-on-One Outreach

SBSS Email Communication

Pre-bid Meeting

Matchmaking Session

BART-hosted Networking Event

Networking Event with BART Presence

SBSS Workshop

SBSS Podcast

BART Website

Referral: Fellow Small Business

Referral: BART Board Member

Referral: BART Staff Member

Referral: Public Agency

Referral: Industry Association

Other