New Vendor Application

All Staffing Agencies: please refer to APS Staffing.

Company Information
Company*
Company website
Years in business
If you are a disadvantaged enterprise, what is your classification?
- WBE (Women Owned)
- MBE (Minority Owned)
Contact Information
Title*
- Mr.
- Ms.
- Miss
- Mrs.
- Dr.
First name*
Last name*
Job title
Address
Address 1 Address 2 City State Zip
Phone*
Fax
Email*
Questions
What is (are) your core service(s)/product(s)?
APS is an organization that services all of Kansas and Missouri. Are there restrictions for your company in servicing Kansas and Missouri in their entirety?*
- Yes
- No
If you answered "YES" to the last question, please explain your restrictions in more detail.*
State the current status of the market regarding competition, market share, product development, and new trends?
Who is your competitor?
Does your company have approval from all federal, state, and local regulatory agencies?
Other comments
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Company Information