Company Profile (Required Fields are Red)

Company Name:
Organization Type:
Company Address:
Postal Code:
Other Locations:
Point of Contact Information
First Name:
Last Name:
Office Phone:
Second Phone:
Email Address:
Small Business: Yes:No:
Woman Owned: Yes:No:
Small Disadvantaged Business: Yes:No:
Select Ownership Type:
Service-disabled Veteran-owned: Yes:No:
Veteran-Owned: Yes:No:
HUB Zone: Yes:No:
Historically Black College or University/Minority Institution: Yes:No:
8a: Yes:No:
Graduation Date (mm/dd/yyyy):

Number of Employees:
Select A primary business:
Annual Revenue (Last 3 years):
Current Year:
Last Year:
Previous Year:
NAICS (Please separate codes with a semi-colon):

List Federal Government Contracting Vehicles You Hold as a Prime Contractor:

Core Competencies. Please list your core competencies. This field may be used to conduct keyword searches to identify firms with specific capabilities:
Certifications. (List certifications such as ISO 9000 series, CMMI):
Select Federal Government Customers:
Other-No Federal Customers
Department of Agriculture
Department of Commerce
Department of Defense
DOD - Air Force
DOD - Army
DOD - Navy
DOD - Other
Department of Education
Department of Energy
Dept. of Health and Human Services
Department of Homeland Security
Department of HUD
Department of Justice
Department of Labor
Department of State
Department of the Interior
Department of the Treasury
Department of Transportation
Department of Veterans Affairs
Environmental Protection Agency
General Services Administration
Office of Personnel Management
Small Business Administration
Social Security Administration
Smithsonian Institution
U.S. Postal Service
Please List Agencies/Offices Supported:
Please List Your Commercial Customers:
Have You Ever Done Business with SMX? Yes: No:
Please Identify the Group/Contract/Project:
How did you learn about SMX:
Are you registered in the Central Contractor Registration? Yes:No:
Facilities Clearance? Yes:No:
Clearance Type:
Currently on section 1/7
Currently on section 2/7
Currently on section 3/7
Currently on section 4/7
Currently on section 5/7
Currently on section 6/7
Currently on section 7/7