FOR MBEs

InFuse Mentor Form

Company Name*
Primary Contact Name*
First Last
Primary Title*
Primary Contact Email*
Primary Contact Phone*
Are you an MMSDC Corporate Member?*
How many years of Supplier Diversity Development/Purchasing do you have?*
Industry
Region
How many years of experience do you have in Supplier Diversity?
How many years of experience do you have in Purchasing?
Is there a part-time (or full-time) person dedicated to the Supplier Diversity Program?
- Yes
- No
- Don't know
Select the range of your company’s % annual MBE purchases: (calculation based on total U.S. & Canada purchases less the following exclusions: utilities, rent, union dues, intercompany, banks, charitable organizations, government organizations, subscriptions, memberships, taxing authorities)
- 0-5 %
- 5-10 %
- 11-15%
- >15 %
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