NABEDC REGISTRATION FORM

Please complete the form below to register with NABEDC

NABEDC REGISTRATION FORM
Please let us know who referred your, or how you learned about our services.

Formal Attestation Statement: This is an official agreement specifying that the named participant certifies, and fully acknowledges they are a minority business owner/entrepreneur who is of one (or more) of the following: American Indian/Native American, Alaska Native, Native Hawaiian*, Black/African American, Asian, Asian Pacific Americans, Eskimos, Hasidic Jews, and/or Puerto Rican. Please note: The Census classifies “Native Hawaiian” as Polynesian, Pacific Islander (Pasifika), Samoa, American Samoa, from Micronesia Islands, Tahitian, Tongan, Tokelauan, Marshallese, Palauan, Chuukese, Fijian, Guinean, and Solomon Islander. Additionally, a qualifying business owner/entrepreneur has origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Under this agreement, the participant will share information on awarded contracts/jobs, and success stories resulting from receiving direct services.

Please enter your tribal affiliation here, if applicable.
By typing your name, you are officially agreeing to the noted Formal Acknowledgement