DCAP Local Supplier Intake Form
Name
*
First Name
Last Name
Job Title
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Legal Business Name
*
Year Founded
*
Website URL
*
Primary Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DC Ward (if applicable)
*
Please Select
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Ward 7
Ward 8
N/A
What primary industry category most accurately captures your business?
*
Architecture & Design
Engineering
Catering & Food Services
Cleaning & Janitorial
Property Maintenance & Management
Communications & Marketing
Construction
Trades (Includes new builds and maintenance)
Product-Based Offerings (Includes supplies and equipment)
Professional Services
Other Services
Which Architecture & Design subcategories most accurately capture your business?
*
Architectural Engineering
Design/Build
Historic Preservation
Interior/Exterior Design Renovation
Tenant Build-Outs/Improvements
Other
Which Engineering subcategories most accurately capture your business?
*
Civil Engineering
MEP Engineering
Structural Engineering
Environmental Engineering
Other
Which Catering & Food Services subcategories most accurately capture your business?
*
Full-Service Catering - Large (250+ guests)
Full-Service Catering - Small (under 250 guests)
Boxed Meals/Individually Packaged Meals
Automated Delivery Platform
Other
Which Cleaning & Janitorial subcategories most accurately capture your business?
*
Janitorial/Custodial
Glass & Window Cleaning
COVID-19 Cleaning
Other
Which Property Maintenance & Management subcategories most accurately capture your business?
*
Property Management Services
Grounds Maintenance/Landscaping/Snow Removal
Waste Management/Recycling/Trash Removal/Hauling
Handyman and Handywoman Services
Pest Control
Controls/Building Automation Systems
Fire Protection Systems
Inspections
Other
Which Communications & Marketing subcategories most accurately capture your business?
*
Advertising
Marketing
Branding
Web Design & Development/Video Animation
Other
Which Construction subcategories most accurately capture your business?
*
General Contracting
Project & Construction Management
Commissioning
Third Party Inspections
Owner's Representatives Services
Other
Which Trades subcategories most accurately capture your business?
*
HVAC
Plumbing
Electrical
Painting
Drywall
Flooring/Carpentry
Other
Which Product-based offerings subcategories most accurately capture your business?
*
Office Supplies (including furniture)
Furniture Distributor
Promotional Items/Stationery
Signage
Other
Which Professional Services subcategories most accurately capture your business?
*
Financial Services (i.e. Accounting, Auditing, Tax, Payroll, Operational Audits)
Legal
Temporary Staffing/Recruiting
Language Translation
Travel Services
IT Services
Other
Which Other Services subcategories most accurately capture your business?
*
Ground Transportation
Event Planning
Audiovisual Design & Build
Photography
Furniture Movers/Management Services
Travel Services
Other
Is at least 51% of your business minority-owned?
*
Yes
No
With which racial/ethnic community does the business owner(s) identify?
*
American Indian or Alaska Native
Asian
Black or African-American
Hispanic, Latino, or Spanish
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
Other
Is at least 51% of your business woman-owned?
*
Yes
No
Is your business a Certified Business Enterprise (CBE)?
*
Yes
No
How many full-time employees, excluding yourself, does your business employ?
*
How many part-time employees does your business employ?
*
How many of your total employees are residents of the District of Columbia? An estimate is acceptable.
*
Have you done business with any hospitals in the District of Columbia? If yes, check the appropriate box(es).
*
BridgePoint Hospital
Georgetown University Hospital (MedStar)
George Washington University Hospital (UHS)
Howard University Hospital (Adventist HealthCare)
MedStar National Rehab Hospital (MedStar)
Psychiatric Institute of Washington
Providence Health Village (Ascension)
Sibley Memorial Hospital (Johns Hopkins Health System)
United Medical Center (UHS)
Washington Hospital Center (MedStar)
N/A
Other
Have you done business with any universities in the District of Columbia? If yes, check the appropriate box(es).
*
American University
Catholic University
Howard University
Gallaudet University
Georgetown University
George Washington University
Trinity Washington University
University of the District of Columbia
N/A
Other
Have you done business with any utility companies in the District of Columbia? If yes, check the appropriate box(es)
*
DC Water
Pepco
Washington Gas
N/A
Other
Are you a client with any of our referral partners? If yes, check the appropriate box(es).
*
DSLBD / DC PTAC
LEDC
Wacif
N/A
Is there anything else you would like to share with us?
Please upload your latest capability statement.
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