KPAP Application Questionnaire

If you prefer, you can print this page and fax it to (502) 564-7697.

Note: questions marked with an * are required. Start with question 2; question 1 is for internal use only.

1.) Client ID: (assigned by KPAP staff)
2.) * Company Name:

 
3.) * Company Contact Person: First Name M.I Last Name

 
 
 
Either a phone number, fax, OR e-mail address is required
4.) E-mail address:
 
5.) Phone:
 
6.) Fax:
 
7.) * Business Size Classification:
 
8.) * Primary Business Type:
 
9.) * Organization Type:
 
10.) * Mailing Address:
 
Address 2:
City:   State:    Zip:
 
 
 
11.) *Street Address:
Address 1:
 
Address 2:
City:   State:    Zip:
 
 
 
12.) Is this location in a HUBZone? Find Out if you are in a HUBZone
13.) *County (physical location of business):
 
14.) Date Business Started:  (mm/dd/yyyy)    
15.) Company Website:
16.) * Federal Congressional District:
 
17.) DUNS# (number only - no dashes or spaces):
18.) CAGE Code:
19.) * Military Status of Owner:
 
20.) SIC (Standard Industrial Classification) codes (list primary code first - 480 characters maximum):

 
21.) NAICS (North American Industry Classification System) codes (list primary code first - 480 characters maximum):

 
22.) FSC/PSC (Federal Supply Class/Product service Class) codes (list primary code first - 480 characters maximum):

 
23.) * Description of company's products or services - 480 characters maximum (Please be as specific as possible; the keywords you list here will be used to help us match your company's capabilities and interests with government contract opportunities. List all keywords that describe your products/services. Use the "Comments" section below if additional space is needed.):


 
 
24.) Geographical marketing area of your firm (i.e., where do you want us to search for government contracting opportunities; list states; or if less than statewide, list specific cities/counties to be searched. To search all states, enter 'nationwide') - 480 characters maximum:

 
25.) Comments (480 characters maximum):

 

Click the "Submit" button above to send your information electronically.

If you prefer, you can print this page and fax it to (502) 564-7697.

If you have any questions, please e-mail us or call us at (800) 838-3266.

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Kentucky Cabinet for Economic Development   Old Capitol Annex  300 West Broadway   Frankfort, KY 40601
502-564-7140 (local)   800-626-2930 (toll free)