Women in Construction Summit Application

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* 1. Do you reside in North Carolina?

Yes

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* 2. What county, in North Carolina, is your business located in?

Bladen

Columbus

Cumberland

Harnett

Hoke

Moore

Richmond

Robeson

Sampson

Scotland

None of the above

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* 3. Please provide the following information

Applicant Name

Company Name

Company Position/Title

Company Address

Company City/Town

Company Zip Code

Applicant Email

Applicant Phone Number

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* 4. How many years have you been in business?

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. What certifications does your business currently hold

Disabled

Disabled Business Enterprise

Historically Underutilized Business Certification

Minority Business Enterprise

Socially and Economically Disadvantaged

Women-Owned Business Enterprise

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* 6. What was your 2021 annual revenue amount:

$0-$100K

$100k-$150K

$250k-$500K

$500K-$1M

$1M-$5M

$5M+

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* 7. What scopes of work/trade does your company provide? (ex: masonry, concrete, general contracting)

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* 8. Are you interested in:

Hard Bid Projects

CM At Risk Projects

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* 9. Is your company bondable?

Yes

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* 10. In what county is your business located?

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* 11. Are you willing to commit to a full week program?

Yes

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* 12. How is your business registered?

C-Corp

LLC

LLP

PLLC

S-Corp

Sole Proprietor

Women in Construction Summit Application

Question Title

* 1. Do you reside in North Carolina?

Question Title

* 2. What county, in North Carolina, is your business located in?

Question Title

* 3. Please provide the following information

Question Title

* 4. How many years have you been in business?

Question Title

* 5. What certifications does your business currently hold

Question Title

* 6. What was your 2021 annual revenue amount:

Question Title

* 7. What scopes of work/trade does your company provide? (ex: masonry, concrete, general contracting)

Question Title

* 8. Are you interested in:

Question Title

* 9. Is your company bondable?

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* 10. In what county is your business located?

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* 11. Are you willing to commit to a full week program?

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* 12. How is your business registered?

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* 13. What is your percentage of ownership in the business?