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Partner Interest Form

If interested in teaming or learning more about CMI’s small business and Mentor-Protégé Program, please fill out the following form.

Company Name*
 Contact Person*
Address 1*
 Address 2
City*
 State*
Province/County
 Country
Zip/Postal Code*
 Phone
Website
 Email*
DUNS Number*
NAICS Codes*

COMPANY SCALE INDICATORS*
Past annual revenue range*

Business Type Definitions
Please check all that apply*		 Small Business Concern
Disadvantaged Business Concern (Includes HBCU/MI)
Historical Black Colleges and Universities/Minority Institutions
Women-Owned Business Concern
HUBZone Business Concern
Veteran Owned Business Concern
Service-Disabled Veteran Owned Business Concern
Large Business Concern
Government Entity
Other (please specify)
Company Description*
Major Clients*
Attach a pdf or doc file


   
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"This is to confirm the excellent work the [CMI] organization has done during the past five years at Main Treasury."

- Gillom Smith
Department of the Treasury