Supplier Diversity Growth Capital: Request for Information
This form captures preliminary information for a business seeking to participate in this initiative. Before proceeding, LISC recommends that respondents read the online
FAQ
for more information.
Contact Information
Please enter your first name:
Please enter your last name:
Please enter the name of your business:
Business email address:
Business location (city and state):
Eligibility Questionnaire
Have you read the FAQ and do you reasonably believe you qualify for this program?
Yes
No
Reading the FAQ is a requirement of this initiative. If you select 'No', you will not be able to proceed.
What is your business structure?
Corporation (S Corp, C Corp or other type of corporation)
Limited Liability Company
Partnership (General and Limited)
Sole Proprietor / Unincorporated
Nonprofit Organization
Other
Is your business registered
in the United States?
Yes
No
Years in Business
Less than 1 year
1-2 years
3-4 years
5-10 years
11 - 19 years
20 years or more
What is your business'
typical
annual revenue?
Less than $249,999
$250,000 to $499,999
$500,000 to $999,999
$1,000,000 to $4,999,999
$5,000,000 to $9,999,999
> $10,000,000
Other Information
Were you referred to this program?
Yes
No
Please select the organization:
Please select...
Accenture LLP
Acxiom
ARAMARK
Ascend
Broadridge Financial Solutions, Inc.
CBRE Group
CognizantCWT
Consilio
Corning Optical Communications LLC
Corporate Aviators, Inc.
Deloitte (Deloitte Touche Tohmatsu Limited)
HighRoad Press
Iron Mountain, Inc.
JP Morgan Chase & Company
KPMG LLP
LexisNexis(R) Risk Solutions
Local Initiatives Support Corporation (LISC)
MCS
MMCA
Mphasis
ProSearch
Protiviti, Inc.
Quigley
Robert Half International, Inc.
SHI International
Stone Point Capital
The Judge Group
The ODP Corporation
Virtusa
World Wide Technology, Inc. (WWT)
Zorch
Other
None of the Above
Do you think this growth capital could help you unlock new contract / PO opportunities with your corporate clients?
Yes
No
Do you and your business identify as any of the following: (where ownership
is based
on 51% ownership or more)?
Disability-Owned Business Enterprise
LGBTQ+ Owned Business Enterprise
Minority-Owned Business Enterprise
Veteran-Owned Business Enterprise
Woman-Owned Business Enterprise
None of the Above
Are you a
certified
Disability-Owned, LGBTQ+ Owned, Minority-Owned, Veteran-Owned, and/or Woman-Owned Business Enterprise (where ownership is based on 51% ownership or more)?
Yes
No
Self-Assessment Score:
Max score: 5 points
Thank you for
your interest in this initiative
.
Click ‘Submit’ below to complete your entry.
Please note: you will not be able to update your responses once you click ‘Submit’.
Contact Information