Apply Online Section I: Small/Minority Contractor Contact Information Date* How did you hear about E-Contractor Academy? EmailPostcardWord of Mouth Are You The Business Owner?* YesNo Mr.Mrs.Ms. First Name* Last Name* Job Title* Company* Address 1* Address 2 City* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code* Phone Number* Fax Number Email Address* Website Section II: Small/Minority Contractor Business Information Business Type* Sole ProprietorshipPartnershipCorporationLLC Union Contractor* YesNo Date Business Established* 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* Up to $250K$251K to $1M$1M and upI'm Not A General Contractor Green Infrastructure: Annual Revenue* Up to $25K$25.1K to $100K$101K and upI'm Not Currently Doing Green Infrastructure Work Registered with the Northeast Ohio Regional Sewer District* YesNo If Yes, please choose all that apply. Minority Business Enterprise (MBE) Women Business Enterprise (WBE) Small Business Enterprise (SBE) Certified Small Business Enterprise (SBE)* YesNo Certifying Agency, if yes Certified Minority-Owned Business Enterprise (MBE)* YesNo Certifying Agency, if yes If Other is selected please indicate the certification below Certified Encouraging Diversity, Growth and Equity (EDGE)* YesNo Certifying Agency, if yes Select Other Certification CSB- Smaller Local Business Enterprise FBE- Female Owned Business Enterprise LPE- Local Producer Enterprise SUBE- Sustainable Business Enterprise SRP- Storefront Renovation Program LGBTBE- Lesbian Gay Bisexual Transgendered Business Enterprise Other N/A Government Public Works Project Experience* YesNo Assigning Agency, if yes Section III: Small/Minority Contractor Statistical Information Gender* MaleFemaleOther Ethnicity* Hispanic or LatinoNot Hispanic or Latino Race* American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite or CaucasianOther Household Income* < $35k$36k to $51k$52k to $64k> $65kN/A Military Status* VeteranDisabled Veterann/a What is 2+2?* Please answer the question to prevent spamming * Denotes a required field.