Sample ApprovedPreferred Vendor Application Form

Sample Approved/Preferred Vendor Applicat Application Form ion Company Name ______________________________________________________ Address __________________________________________________________ City/State/Zip ________________________________________________________ Phone ____________________________ Fax _____________________________ CEO Name ________________________ CEO Title __________________________ CEO E-mail _______________________ CEO Phone _________________________ Marketing E-mail ___________________ Social Security Number _______________ Name of SSN Owner ___________________ Federal Tax ID Number _______________ -----------------------COMPANY INFORMATION -----------------------Organization Type: Sole Owner ___ Corporation ___ S-Corp. ___ State of Incorporation? ______________________ Nonprofit? ___Yes ___No Other Socioeconomic Factor(s)? ___________________________________________ Domestic/Foreign Owned? _______________________________________________ Is your company owned by a parent company? ___Yes ___No Parent Company Name _________________________________________________ Parent Company Address ________________________________________________ Parent Company Tax ID ________________________ Are you: Small Business? ___ Minority-Owned Business? ___ Veteran-Owned Business? ___ Women-Owned Business? ___ Veteran Disabled-Owned Business? ___ Other Socioeconomic Factor(s)? ___________________________________________ Certifications: 8a Certified? ___ Minority? ___ Women-Owned? ___ HUBZone? ___ Mentor Program: Mentor Company ________________________________________ Contact Information ___________________ Phone Number _____________________ Does your company accept credit cards? ___Yes ___No Primary Standard Industrial Code __________________________________________ Additional SICs _______________________________________________________ Primary North American Industry Classification System Code (NAICS) _______________ Additional NAICSs _____________________________________________________ Products/Services (short narrative): _________________________________________ _________________________________________________________________ _________________________________________________________________ Company’s Web Site(s): _________________________________________________ FSCM/Cage Code _____________________________________________________ Registered CCR? ___Yes ___No Registered Pro-Net? ___Yes ___No Did your company have a name change in the past 12 months? ___Yes ___No Name _____________________________________________________________ Company Contact _________________ Quality Assurance Contact _________________ -----------------------GENERAL INFORMATION -----------------------Area in Sq. Ft.: Manufacturing ____ Office _____ Total _____ Number of Personnel: Manufacturing _____ Quality Assurance ____ Engineering _____ Are clean room facilities used for manufacturing product? ____ Yes____ No What percentage of present work is: Government ____ Commercial ____ Other ____ Describe any special processes that you perform (e.g., plating, painting, soldering, welding, wire wrap, etc.). _____ ________________________________________________________________ _________________________________________________________________ Are you ISO-9000 certified? ___Yes ___No ISO Certificate Type _______________ Registrar _______________________ Certificate Number ___________________ Expiration Date: ISO READY/Not Certified ________ Date of Certification ___________ Registered or certified to any other Quality Management System or model? _________ Mil-I-45208 __________ Mil-Q-9858 ____________ Other -----------------------QUALITY MANAGEMENT SYSTEM -----------------------Do you maintain operation policies and procedures for your quality management system? ___Yes ___No Is an internal audit program maintained that reviews compliance with all aspects of the quality program? ___Yes ___No Does the organizational structure define quality responsibility and authority? ___Yes ___No Does the organizational structure provide access to top management? ___Yes ___No Is the health and status of your quality management system periodically reviewed with management? ___Yes ___No Do you have a documented employee training program? ___Yes ___No Is the quality organization responsible for acceptance of product and services? ___Yes ___No Are records of inspections and tests maintained? ___Yes ___No Are quality data used in reporting results and trends to management? ___Yes ___No Are quality records available to support customer certifications? ___Yes ___No -----------------------DESIGN INFORMATION -----------------------Do procedures cover the release, change, and recall of design and manufacturing information, including correlation of customer specification? ___Yes ___No Do records reflect the incorporation of changes? ___Yes ___No Does quality control verify that changes are incorporated at the effective points? ___Yes ___No Is the control of design and manufacturing information applied to the procurement activity? ___Yes ___No Is there a formal deviation procedure? ___Yes ___No -----------------------PROCUREMENT CONTROL -----------------------Are procurement sources evaluated and monitored? ___Yes ___No Are quality requirements and inspection procedures specified? ___Yes ___No Is a documented system maintained for the evaluation of purchased materials? ___Yes ___No Are incoming materials identified and segregated until acceptance? ___Yes ___No -----------------------MATERIAL CONTROL -----------------------Do procedures exist for storage, release, and movement of material? ___Yes ___No Are materials in storage identified and controlled? ___Yes ___No Are in-process materials identified and controlled? ___Yes ___No Are materials inspections identified and controlled? ___Yes ___No Do storage areas and facilities provide control to protect material from degradation? ___Yes ___No Do you have an electrostatic sensitive device protection program? ___Yes ___No Are nonconforming items identified, segregated, and controlled? ___Yes ___No If required, do you have the ability to provide tractability? ___Yes ___No