Supplier Registration Form

Supplier Registration Form - Canada

COMPANY OVERVIEW

Full Legal Company Name*

Trading / Doing Business As Name (if applicable)

Company Web Address

Company Overview*

Please provide an overview of your company and what differentiates you from your competitors (150 words max.)

Do you self-perform or subcontract the services?*

Self-perform | Auto-exécution

Subcontract | Sous-traitance

Combination of Self-perform & Subcontract | Combinaison d'auto-exécution et de sous-traitance

Geographical Areas of Service*

Geographical Areas where you offer services (Country, Provinces/ States, Region)

Services provided (select all that apply)

Select or enter value

Please specify

If you selected "Other", please specify.

CONTACT DETAILS

Country*

Canada | Canada

Main Business Address:*

Address (Line 2 if applicable)

City*

Province*

Select

Postal Code*

State*

Select

Zip Code

Contact Full Name*

Contact Title:*

Company Phone Number*

Phone

Contact Cell Number*

Phone

Contact Email Address*

Tax Exempt

Tax ID #

SUPPLIER DIVERSITY & INCLUSION

Supplier Diversity & Inclusion is an important contributor to our corporate mission of ensuring that we are being inclusive in our supply chain practices and reflective of our communities, employees, and client base.

A qualified Diverse Business is one that is at minimum 51 percent owned, controlled, and managed by a member(s) of historically underutilized groups. Examples include, but are not limited to women, persons with disabilities, Indigenous peoples, members of visible minorities, veterans, or members of the 2SLGBT+ community.

The information you provide below will be used only for the purposes of increasing our engagement opportunities with diverse-owned businesses.

Based on the above definition, does your company qualify as a Diverse Supplier?*

Yes | Oui

No | Non

Prefer not to say | Préfère ne pas répondre

Does your company hold any Supplier Diversity certifications?*

Yes | Oui

No | Non

Supplier Diversity certifications*

Please select the Supplier Diversity certifications your company holds. Please select all that apply. Only current and valid certifications should be selected.

Select

Provincial Indigenous Business Directory

Provide Province name or directory name

Please Specify

If you selected "Other", please specify.

What Supplier Diversity category do you qualify for?*

Select

Is your company registered with another Diversity-focused business directory?

Yes | Oui

No | Non

Please provide the diversity-focused business directory / association name

Certificate Attached

Select the appropriate employee size range for your organization*

1 - 50 employees | De 1 à 50 employés

51 - 499 employees | De 51 à 499 employés

500+ employees | Plus de 500 employés

I choose not to answer | Je choisis de ne pas répondre

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