Bridge Point Compliance: Client Qualification Form

This form is designed to gather preliminary information about potential clients to determine their needs and ensure a tailored service experience.

Section 1: General Information

Company name

First name

Last name

Email

Phone

Business Location

Preferred Contact Method

Email

Phone

Other

What type of entity are you? (Select one):

Prime Contractor (Client Code A)

Subcontractor (Certified BIPOC, SBE/DBE) (Client Code B)

Non-Profit Organization (Client Code C)

Educational Institution (Client Code D)

Individual Entrepreneur/Business Starter (Client Code E)

What is the size of your business or organization?

Micro (1-10 employees)

Small (11-50 employees)

Medium (51-200 employees)

Large (200+ employees)

What type of projects do you typically work on? (Check all that apply):

Do you currently have any certifications? (e.g., SBE, DBE, BIPOC)

Yes. Please list below:

No