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  Supplier Profile Form  
 

 

Supplier Profile Form - Step 1

The first step toward potential teaming opportunities with Vangent is to complete the profile form below. We encourage all U.S.-based suppliers to complete and submit the form. Once we receive your submittal, we will review your information and contact your firm should an appropriate teaming opportunity develop.

Step 1: Complete the form below and click Submit. You will be given an opportunity to review your submittal prior to "Step 2: Confirm."

Company Contact Information

Company Name: (required)

Parent Company Name: (if different)

Street Address 1: (required)

Street Address 2: (optional)

  

City: (required)

State: (required)

ZIP Code: (required)

Company Website Address: (required)

State of Incorporation: (required)

Primary Contact's First Name: (required)

Primary Contact's Last Name: (required)

Primary Contact's Title: (required)

Contact's Phone (10 digits no spaces): (required)

Primary Contact's E-mail: (required)

Contact's FAX (10 digits no spaces): (required)

Tax ID Number (##-#######): (required)

DUNS Number (9 digits no spaces): (required)

Business Information

Are you registered in the Central Contractor Registry? (required) 

If you are not registered, we highly recommend that you take the time to do so:  www.ccr.gov

Number of Employees: (required)

Annual Gross Revenue: (required)

Business Classification: (required)

 Business Start Date (MM/DD/YYYY): (optional)

Business Information - Small Business

Business Ownership Type: (required)
To select more than one type, press CTRL+click on each desired item.

If you are not sure which categories you should select, please view a list of the  category descriptions through the following link:

Small Business Ownership Type Descriptions
 

If 8(a) is selected, enter graduation date (MM/DD/YYYY):

If HUBZone SBA Certified is selected, enter certification date (MM/DD/YYYY):

If Small Disadvantaged Business (SBA Certified) is selected, enter certification date (MM/DD/YYYY):

Other Ownership Information: (optional)

 

NAICS Codes (optional)
(click to view codes on census.gov)
Primary 6 digit NAICS Code #1:
 Corresponding NAICS Description (up to 254 characters):
Primary 6 digit NAICS Code #2:
 Corresponding NAICS Description (up to 254 characters):
Primary 6 digit NAICS Code #3:
 Corresponding NAICS Description (up to 254 characters):
Primary 6 digit NAICS Code #4:
 Corresponding NAICS Description (up to 254 characters):
Secondary 6 digit NAICS Code #5:
 Corresponding NAICS Description (up to 254 characters):
Secondary 6 digit NAICS Code #6:
 Corresponding NAICS Description (up to 254 characters):
Secondary 6 digit NAICS Code #7:
 Corresponding NAICS Description (up to 254 characters):

 

Business Capabilities
Special Certifications: (required)
To select more than one certification, press CTRL+click on each desired item.

Prior Experience: (required)
To select more than one, press CTRL+click on each desired item.
Prior Experience Other: If you selected "Other", please enter your prior experience below (up to 60 characters:
Corporate Capabilities/Skills: (required)
To select more than one entry, press CTRL+click on each desired item.
Corporate Capabilities Other: If you selected "Other", please enter your capabilities below (up to 60 characters:

 

Key Past Performance/Clients

Past Performance 1 (required):
Office/Agency Name:
What role did your firm perform?
Provide a brief description of your work (limit 254 characters):

Past Performance 2:
Office/Agency Name:
What role did your firm perform?
Provide a brief description of your work (limit 254 characters):

Past Performance 3:
Office/Agency Name:
What role did your firm perform?
Provide a brief description of your work (limit 254 characters):

 

 

Vangent, Inc.
4250 North Fairfax Drive, Suite 1200
Arlington, VA 22203
Phone: (703) 284-5600
FAX: (703) 284-5628

  
 


 

Next Steps:

>> Main Supplier Diversity Page
>> Classifications
>> Related Sites
>> Submit Form