AGL Resources - Supplier Diversity Business Development Program Application & Assessment Form

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NYSE: GAS $41.62 +0.03
Feb 3 2012 3:46PM ET

Business Contact Information

Name
Title
Company Name
Company Website
DUNS Number
Phone
Fax
Email
Registered Company Address
Registered Address Line 2
City, State, Zip

Business Information

Date Business Commenced
Business Structure – Check ONE box that identifies your business structure Sole Proprietorship
Partnership
Corporation
Joint Venture
Limited Liability Company
Limited Liability Partnership
Check the Appropriate Type Minority-Owned Business
Woman-Owned Business
Hub Zone
Small Business
List all individuals or entities that own 10% or more equity or ownership interest in your company
Year Established
No. of Full-Time Employees
No. of Part-Time Employees
Annual Gross Revenue (previous fiscal year)
Next Year's Projected Sales $
Industry Business Type
Business Description

Assessment

What is your company’s sales goal/objective for growth? (i.e. % increase over last fiscal year)
Does your company have any liens or pending lawsuits? YesNo
Please describe your company’s goal(s) in participating in the Supplier Business Development Program.
What are your company’s current strengths?
Please list the strengths in sales (Increment statements).
What are your company’s weaknesses?

What have been your company's total sales for the last three years?

2011
2010
2009
Is there a written business development plan that defines your company’s goals? YesNo
Is there routine, regular follow up and review on progress in attaining goals, objectives, and strategies? YesNo
Please indicate the areas for which performance measures have been set and whether they are consistently met.
Have you had any formal training regarding your business or ways to improve it? YesNo
Does your company maintain an up-to-date accounting policies and procedures manual that covers accounting for fixed assets, the budget process, accounts payable process, procurement, payroll, etc.? YesNo
Is there sufficient coordination between the accounting/finance and IT departments, resulting in timely reports and closings? YesNo
Are key operating positions adequately staffed, thereby avoiding constant crisis? YesNo
Is your company’s organizational structure appropriate for its size and complexity? YesNo
Has management established policies and procedures for development and modification? YesNo
List your company’s long and short (next 12 months) term objectives.
What are your company’s current IT and systems in place?
What are your certifications?
Describe any important changes in your company (structure, ownership, management, key, Personnel, etc.) which have taken place during the past year and how they have affected your company.
Provide the types of customers served (corporate, individual, etc.).

By choosing to submit this application, you certify that the information you have provided is true and accurate.

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