Partnering Portal Form

CMC & Maintenance , Inc. Partnering Assessment Portal

* Indicates required field

Company Name *

Company Website *

DUNS# *

Address: Line 1 *

Address: Line 2 *

City *

State *

ZIP *

Email *

Point of Contact Name *

Phone *

Email *

Check all that apply: *

A Small Business Concern An SBA Certified Small Disadvantaged Business A Woman-owned Small Business

Choose Any *

A Mid-sized Business Large A Veteran-owned Small Business A Hub-zone Small Business

Service Provider? *

If yes, what types of services provided? *

Consulting? *

Areas of consulting expertise? *

In what states or countries do you provide service? *

Government Agency customers: *

What are your 3 major/core lines of business? *

2 *

3 *

Primary NAICS Code(s) (Separate multiple codes with a comma) *

Number of current employees *

% of present Commercial work *

% of present Government work *

Type of business (Company operates as:) *

If foreign-owned, country business is registered? *

Thank you for taking the time to fill out the Partnering profile. We will get back to you soon!

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