Business Name
*
Contact Person
*
Contact Person Position
*
Business Phone
*
Business Email
*
Website URL
Business Address
*
Years in Business?
*
<1 yr
1–3 yrs
3–5 yrs
5+ yrs
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Are you registered in SAM.gov?
*
Yes
No
If you responded “YES” to the previous question. Enter your UEI below:
Do you have any of the certifications? (8(a), WOSB, SDVOSB, HUBZone, MBE/WBE, DBE)
*
Yes
No
Select the certifications you have below.
8(a)
WOSB
SDVOSB
HUBZone
MBE / WBE
DBE
(Check all that apply)
What are your core competencies (your specialized skills/differentiator)?
*
What industries/Service areas
*
Construction & Trades
IT & Cybersecurity
Healthcare Services
Administrative & HR Support
Logistics & Delivery
Facilities Maintenance
Engineering & Consulting
Security & Guard Services
Cleaning & Janitorial
Marketing & Communications
Other (please specify)
Check all that apply
Please (please specify)
Do you know your NAICS Code(s)?
Yes
No
If Yes, Enter your NAICs Codes?
Upload a Capability Statement, if available
What type of Contract do you desire?
Prime
Subcontractor
Joint Venture
State/Local
Select Max of 2
Have you performed work for any of the following? (Federal Government, State/Local Government/ Prime Contractor/ Private Sector)
Yes
No
Briefly describe any past contracts or notable clients:
*
2–4 sentences
Bonding capacity (if applicable):
*
Yes
No
If yes, specify amount:
Self Assessment: How would you rate your readiness to pursue government work?
Ready now
Need some assistance
I’m exploring GovCon
Select one
What areas do you need help with?
*
SAM.gov registration
DSBS optimization
Certification application (8a, WOSB, etc.)
Wining contracts
Proposal writing assistance
Teaming opportunities
Finding Prime/sub contractor opportunties
Pricing structure
Other:
(Check all that apply)
Other:
Please specify
What geographic service area are you interested in?
Local
State
National
Is there funding or capacity constraints?
Yes
No
What is your main goal in government contracting right now?
*
