Small Business Partner Program Registration

WBB believes in building strong relationships with small businesses to build mutual, long-term competitive advantages. We know small businesses offer unique and innovative solutions and by partnering with these companies, WBB enhances services to our clients and creates new business pathways and revenue sources for the small companies. Please register your company with WBB for consideration on future projects. We look forward to working with you.

Step 1: General Information

 
Your Company's Name: *  
Company Website: *  
Your Name: *  
Your Title: *  
Your Primary Email: *  
Your Company EIN: *  

Step 2: Company Information

 
Headquartered in the US: Yes No  
  Primary Address
Street:    
City:    
State:    
Country:    
  Secondary Address
Street:    
City:    
State:    
Country:    
NAICS Code (primary):    
NAICS Code (secondary):    
CAGE Code:    
Number of Employees:    
Annual Sales (Last 3 Years):   Year 1: Year 2: Year 3:  

Step 3: Contact Details

  Contact
First Name:    
Last Name:    
Title:    
Email:    
  Address
Street:    
City:    
State:    
Country:    
  Phone/Fax
Phone:    
Fax:    

Step 4: Business Certification

 
Certs (check all that apply):   SDB Expiration Date
8a Graduation Date
HUB Zone Certification Date
Small WOSB SDVOSB VOSB NMSDC
HBCU JWOD NIB NISH WBE DBE
MBE DoT DVBE Other
 
Category:    
Business Type:    
Company Ownership Type (check all that apply):   Individual Corporation Partnership
Wholly Owned Subsidiary Non-Profit LLC
Educational Institution Parent Company
 

Step 5: Products & Services

 
Products & Services:    
Certifications and Industry Rankings:  
Series:  
 
  Are you currently debarred from working on Federeal, State, or Local Contracts?
Yes No
Are you bondable? Yes No
Do you carry workers compensation? Yes No
Have you ever filed for bankruptcy? Yes No
 
 

Step 6: Market Overview

 
History with WBB:    
WBB Point of Contact:    
Market Focus Description:    
Agency with Mentor-Protégé agreement:    
Point of contact:    
Reason for pursuing relationship with WBB:    
Competitors (Top 3):   1.
2.
3.
 
Clients:    
Accept government credit cards? Yes No  
Existing/Past Business with Government Agency or Commercial Entity:  
Agency:
Contract Name:
Contract #:
Contract Value:
Start Date:
End Date:
Identify GWAC/GSA schedule/vehicle:
References (Include Name, Phone and Email):
Add Another Agency
 

Step 7: Security Overview

 
Facility Clearance: Yes No  
Clearance Type (check all that apply):  
Confidential – Date Approved: Agency:
Secret – Date Approved: Agency:
Top Secret – Date Approved: Agency:
SCI – Date Approved: Agency:
DOE Q – Date Approved: Agency:
ISA – Date Approved: Agency:
TSSI – Date Approved: Agency:
TS/SCI – Date Approved: Agency:
Full Lifestyle Polly – Date Approved: Agency:
Interim – Date Approved: Agency:
DOE L – Date Approved: Agency:
Other – Date Approved: Agency:
 

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