Disadvantaged Enterprise Form

Province/State

Certificate by national minority supplier development council or an affiliate Yes No

CERTIFIED BY CANADIAN ABORIGINAL AND MINORITY SUPPLIER COUNCIL Yes No

REGISTERED ON CENTRAL CONTRACTOR REGISTRY DATABASE Yes No

FEMALE Yes No

AFRICAN Yes No

ASIAN Yes No

ASIAN INDIAN Yes No

HISPANIC Yes No

AMERICAN INDIAN Yes No

DISABLED Yes No

DISADVANTAGED Yes No

VETERAN Yes No

HUB ZONE Yes No