JURISolutions Legal (JSL)                     Supplier Inclusion Vendor Registration 
To be considered for JURISolutions Legal (JSL)'s Supplier Inclusion Program, please take a moment to complete the following two steps of the registration process.

Step 1: Complete the registration questionnaire.  

Step 2: Email the following to: vhubbard@jsl-hq.com
  • Your company's capability statement 
  • Your company's active diversity certificate(s)
  • If applicable, a copy of your company's supplier inclusion/diversity policy and/or economic development policy.

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Supplier Name *
Employer Identification Number (EIN) *
Dun & Bradstreet Number *
NAICS Code(s) *
Business Address *
City, State and Zip Code *
Business Phone Number *
Business Fax Number (if applicable) *
Company Website *
Year Established *
Number of Employees *
3 Year Average Gross Sales *
Social Media *
Main Point of Contact Name and Title *
Main Point of Contact Email Address *
Main Point of Contact Phone Number *
Main Point of Contact Fax Number (if applicable) *
Company Ownership  *
Business Market Area *
Principal Owner 1

Include the following: 

Name:
Title:
Phone:
Email:
Fax:
Gender:
Ethnicity:
LGBTQ+:  (Yes, No or Not Disclosed)
Person with a Disability:  (Yes, No or Not Disclosed)
Veteran:  (Yes, No or Not Disclosed)
Owner Percentage:

 *
Principal Owner 2

Include the following: 

Name:
Title:
Phone:
Email:
Fax:
Gender:
Ethnicity:
LGBTQ+: (Yes, No or Not Disclosed)
Person with a Disability:  (Yes, No or Not Disclosed)
Veteran:  (Yes, No or Not Disclosed)
Owner Percentage:
 *
Principal Owner 3

Include the following: 

Name:
Title:
Phone:
Email:
Fax:
Gender:
Ethnicity:
LGBTQ+:  (Yes, No or Not Disclosed)
Person with a Disability:  (Yes, No or Not Disclosed)
Veteran:  (Yes, No or Not Disclosed)
Owner Percentage:
 *
Type of Business *
Specify "Other" Type of Business (if applicable)
Brief Description of Products or Services *

Does your business qualify for any of the following Diverse Business Enterprise categories? Select all that apply.

 *
Required
Specify "Other" Diverse Business Enterprise category (if applicable).
Is the company certified by a third party organization group or agency? *
If "Yes", please list the following for each diversity certification: 

Certifying Organization Group or Agency:
Type of Diversity Certification:
Certification Number:
Expiration Date:
 *
List Top 3 Customers *
Reference 1

Please Include:

Name:
Title:
Company Name:
Phone:
Email:

 *
Reference 2

Please Include:

Name:
Title:
Company Name:
Phone:
Email:

 *
Reference 3

Please Include:

Name:
Title:
Company Name:
Phone:
Email:

 *
Upon completion of JSL's diverse vendor questionnaire, I agree to email the following documents to JSL's Supplier Inclusion Program point of contact at:  
vhubbard@jsl-hq.com

1) Company's Capability Statement
2) Company's Diversity Certificate(s)
3) If applicable, a copy of my company's supplier inclusion/diversity policy and/or economic development policy.
 *
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