BDAG Application Question Title * 1. Contact Information Name of Applicant Your title and role in the business Name of the business Business Address Phone Number E-mail Address What type of work does your business do? Question Title * 2. Are you an OMWBE (Washington State Office of Minority & Women's Business Enterprise) or DVA (Washington State Department of Veterans) certified firm? OMWBE DVA Other (please indicate here) Question Title * 3. If you do not hold an certification, is your firm owned (at least 51%) by minority, women, women-minority, or veteran? Minority Women Women-Minority Veteran Other Question Title * 4. Are you willing to obtain the certification by OMWBE? Yes No Question Title * 5. Is your firm registered in WEBS as a Washington state small business? Yes No Question Title * 6. Are you a non-profit for the blind? Yes No Question Title * 7. Are you with a non-profit that helps small business? Yes No Question Title * 8. Please indicate your race/ethnicity Question Title * 9. What's your gender pronoun? Question Title * 10. Do you have any experience bidding on government contracts? State contracts Any other government contracts Other (please specify) Question Title * 11. Are you able to make a commitment to serve for a one year or three year term? Please select one. one-year term three-year term Question Title * 12. You may be dismissed if you miss two meetings without giving prior notice. We meet the Tuesday of the month from 10 a.m. to 12 p.m. virtually. Are you able to attend the monthly meetings? If you are unable to make the meeting, are you able to give prior notice to DES staff? Yes No Question Title * 13. Are you connected in your business community? If so, please describe the business community you are affiliated with. Question Title * 14. Has any firm you've owned, including the current business(es) ever been debarred, suspended, or had labor or ethics violations? Yes No Next
