South Carolina SBA™

Minority Owned Business Certification
Application Form

COMPANY PROFILE (Including Corp. LLC. PLLC. LP. LLP. LLLP. Ltd.) ? (Required for Corp. LLC. PLLC. LP. LLP. LLLP. Ltd.) FILING NUMBER MUST BE CORRECT ? (Lookup Your NAICS Industry Code)   MANAGEMENT (% of Ownership Combined Must Total 100%) COMPANY CONTACT   How Did You Hear Of Us? Search Engine Social Media Business Partner Referral Government Agency Referral Radio, Television, Print Media Everybody Knows South Carolina SBA™ Qualifications   Minority Owned Business Eligible "Socially Disadvantaged Groups" as defined by the Small Business Act: Black Americans - (African Descent) Hispanic Americans - Spanish speaking Hispanic Americans - Portuguese speaking Native Americans - American Indians Native Americans - Eskimos Native Americans - Aleuts Native Americans - Native Hawaiians Asian Pacific Americans - Origins of Burma Asian Pacific Americans - Origins of Thailand Asian Pacific Americans - Origins of Malaysia Asian Pacific Americans - Origins of Indonesia Asian Pacific Americans - Origins of Singapore Asian Pacific Americans - Origins of Brunei Asian Pacific Americans - Origins of Japan Asian Pacific Americans - Origins of China (including Hong Kong) Asian Pacific Americans - Origins of Taiwan Asian Pacific Americans - Origins of Laos Asian Pacific Americans - Origins of Cambodia (Kampuchea) Asian Pacific Americans - Origins of Vietnam Asian Pacific Americans - Origins of Korea Asian Pacific Americans - Origins of The Philippines Asian Pacific Americans - Origins of U.S.Trust Territory of the Pacific Islands (Republic of Palau) Asian Pacific Americans - Origins of Republic of the Marshall Islands Asian Pacific Americans - Origins of Federated States of Micronesia Asian Pacific Americans - Origins of The Commonwealth of the Northern Mariana Islands Asian Pacific Americans - Origins of Guam Asian Pacific Americans - Origins of Samoa Asian Pacific Americans - Origins of Macao Asian Pacific Americans - Origins of Fiji Asian Pacific Americans - Origins of Tonga Asian Pacific Americans - Origins of Kiribati Asian Pacific Americans - Origins of Tuvalu Asian Pacific Americans - Origins of Nauru Subcontinent Asian Americans - Origins of India Subcontinent Asian Americans - Origins of Pakistan Subcontinent Asian Americans - Origins of Bangladesh Subcontinent Asian Americans - Origins of Sri Lanka Subcontinent Asian Americans - Origins of Bhutan Subcontinent Asian Americans - Origins of The Maldives Islands Subcontinent Asian Americans - Origins of Nepal   I Confirm That I Am Authorized To Submit This Business Certification Application On Behalf Of The Company And Management Listed. I Agree With The Terms of Service.