College Board Self-Certification Form
ADVERTISEMENT
1
2SELF-CERTIFICATION FORM
Company Name:
________________________
Contact Person:
________________________
Address:
________________________
City, State, Zip Code:
________________________
Phone Number:
________________________
Email
________________________
1
Size
(Please check all that apply):
SMALL BUSINESS
LARGE BUSINESS
□ Small Business
□ Large Business (including non-profit)
□ Small Disadvantaged Business
□ Minority-Owned Large Business
□ Certified by SBA as a HUBZone Small Business
□ Women-Owned Large Business
□ Certified by SBA as a 8(a) Small Business
□ Other Large Business: ___________________
□ Women-Owned Small Business
□ Veteran-Owned Small Business
□ Service Disabled Veteran Owned Small Business
□ Minority-Owned Small Business
□ Other Small Business: ____________________
INDUSTRY SECTOR
MINORITY CATEGORY
□ Advertising/marketing services
□ African American
□ Business consulting services
□ American Indian & Alaska Native
□ Communications services
□ Asian
□ Construction services (office space outfitting)
□ Hispanic
□ Educational independent contractors
□ Native Hawaiian & Other Pacific Islander
□ Facilities engineering and maintenance
□ Non-Minority
□ General office equipment/supplies
□ Graphic design and print services
□ Hardware and hardware resellers
□ IT contractors
□ Office equipment and supplies
□ Office furnishing
□ Outsourced services
□ Publications and fulfillment
□ Software
□ Travel and event services
□ Other: ________________________________
1
You may wish to review the definitions for the above categories in the Federal Acquisition Regulation Part 19.7 or
52.219-8 ( ). If you have difficulty ascertaining your size status, please call 1-800-U-ASK-
SBA or refer to SBA’s website at
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business