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Women in Construction Summit Application
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1.
Do you reside in North Carolina?
(Required.)
Yes
No
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2.
What county, in North Carolina, is your business located in?
(Required.)
Bladen
Columbus
Cumberland
Harnett
Hoke
Moore
Richmond
Robeson
Sampson
Scotland
None of the above
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3.
Please provide the following information
(Required.)
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?
(Required.)
1
100
Clear
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5.
What certifications does your business currently hold
(Required.)
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:
(Required.)
$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)
(Required.)
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8.
Are you interested in:
(Required.)
Hard Bid Projects
CM At Risk Projects
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9.
Is your company bondable?
(Required.)
Yes
No
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10.
In what county is your business located?
(Required.)
Bladen
Columbus
Cumberland
Harnett
Hoke
Moore
Richmond
Robeson
Sampson
Scotland
Other (please specify)
*
11.
Are you willing to commit to a full week program?
(Required.)
Yes
No
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12.
How is your business registered?
(Required.)
C-Corp
LLC
LLP
PLLC
S-Corp
Sole Proprietor
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13.
What is your percentage of ownership in the business?
(Required.)
Current Progress,
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