Supply Profile - TKT & Associates

General Business Information

Legal Corporate Company Name*

DBA Name (if applicable)

Previous Company Name (if applicable)

Street Address*

Street Address Address Line 2 City State ZIP Code

Corporate Contracts Contact*

First Last

Phone*

Email*

Enter Email Confirm Email

Fax Number

Accounts Receivable Contact*

First Last

Remittance Address*

Same as Street Address

Remittance Address

Street Address Address Line 2 City State ZIP Code

Federal Tax ID Number*

Dun and Bradstreet ID Number

Local Address*

Same as Previous

Other (i.e. Legal, Healthcare, etc.)

Please enter a number between 0 and 100.

Local Address

Street Address Address Line 2 City State ZIP Code

Phone

Fax

Internet and e-mail Address

Dun & Bradstreet ID No.*

Federal Tax ID or GST#*

How would you classify your company?*

Regional
National
International

If your company has subsidiary companies, please name them and define the extent to which they will provide contingent workers to client:*

Is your company a Supplier for other TKTKONNECT client programs? If so, please list:*

Primary Contact 1

Name and Title

Main Contacts

Phone

Email

Primary Contact 2

Name and Title

Main Contacts

Phone

Email

Primary Contact 3

Name and Title

Main Contacts

Phone

Email

Reference 1

Business Name

Contact Person

Phone

Reference 2

Business Name

Contact Person

Phone

Reference 3

Business Name

Contact Person

Phone

Bank: (include acct #)

Contact Person

Phone

Diverse Business Status

Is your firm M/W/DBE certified?*

Yes
No

If your firm is M/W/DBE certified, please select your specific Ethnic Group(s) on the table below:*

Site & Skill Identification

Does your firm utilize 1099’s? If so, are there any currently placed with Toyota North America?*

Does your firm utilize subcontract firms to supply contingent workers? If so, please name them & indicate if they have active positions at Toyota North America.*

Can your firm provide “Direct Hire” placements?*

Yes
No

Does your firm engage in “Project Based Work”?*

Yes
No

Please describe the process and tools used by your company to assess job skills and abilities. Include specifics on computer testing.*

Do you work with other MSP Programs and VMS Technologies? If yes, please specify.*

Indicate which skill set(s) your organization specializes in

TKTCONNECT SUPPLIER PROFILE

Supplier Profile Form

General Business Information

Primary Contact 1

Primary Contact 2

Primary Contact 3

Reference 1

Reference 2

Reference 3

Diverse Business Status

Site & Skill Identification