Minority-owned Business?

The information provided will be used to determine the demographic base the County is reaching. It will not be used as a criteria for determining bid award.

Minority Status (Gender) (required)

NOT a woman-owned business

Woman-owned business

Minority Status (Race) (required)

NOT owned by someone of a racial minority

African-American

Asian Pacific

Subcontinent Asian

Hispanic

Native American

Other

Minority Certification #