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M/WBE Goal Calculation Worksheet (This form should reflect Multi-Year Budget Summary Totals) RFP # and Title: ________________________________________________________________ Applicant Name: _____________________________
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Document Date: 2014-08-07 11:42:12


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City

NAME ADDRESS CITY / EEO / /

Company

Women-Owned Business Enterprise / Bidder/Applicant’s Company / /

Continent

Europe / Africa / /

Country

Thailand / Malaysia / Japan / Pakistan / Guam / Vietnam / Korea / China / Cambodia / India / /

/

IndustryTerm

case law / direct personal services / telephone/e-mail address / /

NaturalFeature

Pacific Islands / /

Organization

New York State’s Division of Minority and Women-Owned Business Development / New York State’s Division of Minority / New York State Education Department / New York State Division of Minority / Women-Owned Business Development / New York State Division of Minority and Women-Owned Business Development / Equal Employment Opportunity Commission / AND / /

Person

Job Categories / /

/

Position

contractor / Executive / WBE REQUIREMENTS SET FORTH UNDER NYS EXECUTIVE / NYS Executive / WBE CONTRACTOR / Representative / WBE Coordinator / STAFFING PLAN INSTRUCTIONS General / /

ProvinceOrState

Alaska / Hawaii / /

Region

South America / Southeast Asia / North America / Middle East / Far East / North Africa / Central America / /

TVStation

WBE / /

SocialTag