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ACES
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E-Contractor Application Form
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E-Contractor Application Form
Date*
Are You The Business Owner?*
Yes
No
Mr.
Mrs.
Ms.
First Name*
Last Name*
Job Title*
Company*
Address 1*
Address 2
City*
State*
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Washington
West Virginia
Wisconsin
Wyoming
Zip Code*
Phone Number*
Fax Number
Email Address*
Website
SECTION II: SMALL/MINORITY CONTRACTOR BUSINESS INFORMATION
Business Type*
Sole Proprietorship
Partnership
Corporation
LLC
Union Contractor*
Yes
No
Date Business Established*
Contractor’s License Number*
Class*
EIN*
Federal Tax ID Number*
Number Of Employees*
Primary North American Industrial Classification System Code (NAICS)*
You can determine your NAICS code on the SBA Website
here.
Other NAICS Code(s), if applicable
General Contractors: Annual Revenue*
Less Than $33.5M
More Than $33.5M
$27M I'm Not A General Contractor
Specialty Trades: Annual Revenue*
Less Than $14M
More Than $14M
$27M I'm Not A Specialty Trade
Certified Small Business Enterprise (SBE)*
Yes
No
Certifying Agency, if yes
Certified Minority-Owned Business Enterprise (MBE)*
Yes
No
Certifying Agency, if yes
Government Public Works Project Experience*
Yes
No
Assigning Agency, if yes
SECTION III: SMALL/MINORITY CONTRACTOR STATISTICAL INFORMATION
Gender*
Male
Female
Ethnicity*
African American
Aleut
American Indian
Asian American
Caucasian
Eskimo
Hasidic Jew
Hispanic
Pacific Islander
Other
Household Income*
$35k
$36k to $51k
$52k to $64k
$65k
Military Status*
Veteran
Disabled Veteran
N/A
Submit
Contact
For more information about
E-Contractor Academy
, contact:
Northern California: Avni Jamdar
Southern California: Wendy Angel
Northwest: Steve Gelb
Northeast: Daryl Wright
Submit your message below.
Email
Message
Submit
Testimonials
Ryan Tittsworth
President RBT Electric Inc., Los Angeles
“[The E-Contractor Academy] was a great way to increase our capacity and learn practical techniques about how to improve our business and compete for larger contracts.”