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Registrations
Register New a SAM Registration
Renew SAM Registration
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International SAM Registration (nCAGE & NATO)
Multi-Year SAM Registrations
Federal Grant Registration
Certifications
What Certifications Are Best For My Company?
Federal Small Business Certification Options
Woman Owned Small Business (WOSB/EDWOSB)
Veteran Owned Small Business (VOSB/SDVOSB)
Historically Underutilized Business Zone (HUBZone)
8(a) Business Development Program (Minority Owned)
GSA Schedule Certification
Federal Contractors
How to Become a Government Contractor
How to Find & Win Government Contracts
Set-Aside Certification Options for Contractors
Simplified Acquisition Procedures (Small Business Contracts under $250K)
FEMA Disaster Relief & Response Contracts
Government Capabilities Statement
Tools & Resources
Check SAM & UEI Status
Small Business Certification Eligibility Tool
HUBZone Map Lookup Tool
NAICS Code Look Up Tool
Website and Marketing for Small Businesses
Search Federal Government Contracts
Request Additional Information
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& Filing Services
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WOSB Certification Questionnaire
Primary POC Name
*
Primary POC Phone
*
Primary POC Email Address
*
Legal Business Name
*
dba (doing business as)
Business Entity Type
*
C Corp
S Corp
LLP
LLC
LTD
Sole Proprietorship
CAGE Code
UEI (Unique Entity Identifier)
Qualifying NAICS Code
1. Is your company at least 51% owned and controlled by one or more women who are U.S. Citizens?
*
Yes
No
2. Does the business have a place of business in the U.S. and operate primarily within the United States, or make a significant contribution to the U.S. economy through payment of taxes or use of American products, materials or labor?
*
Yes
No
3. Is the company's management and daily operation controlled by a woman with industry experience?
*
Yes
No
4. Has this business or any of it's owners ever been debarred or suspended by any federal entity?
*
Yes
No
Unsure
5. Is the business considered small in accordance with it's primary NAICS Code?
*
Yes
No
6. Do you agree to pay the nonrefundable application processing fee?
Yes
No
7. Does the Woman holding the highest defined position work in the business at least 30 hours per week during normal hours of operation?
*
Yes
No
Not Applicable
8. Do women make up a majority of the Board of Directors OR have a majority of the Board votes through weighted voting? OR Do the women who make up 51% of the voting power sit on the Board AND have enough voting power to overcome any supermajority requirement?
*
Yes
No
Not Applicable
9. Do you work as a W-2 employee with any other organization(s)?
Yes
No
If yes, please explain. Be sure to include the average number of hours worked per week
*
As an officer, director, owner, legal representative or authorized representative of the organization stated throughout this document, I attest that all information provided is true and correct to the best of my knowledge.
Signature
*
Title
*
Date
*
MM slash DD slash YYYY
Business Name
*
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