​Note: This registration allows APTIM to evaluate your firm's capabilities and past performance. If your firm matches one of our subcontracting opportunities, you will be contacted via email. Completing this registration does not authorize you to do work with APTIM. If selected, you will be required to provide additional information.

If you need assistance completing this form, please email:  small.business@aptim.com

Company Name **
Doing Business As (DBA) *
HQ Address – Street Addr1 **
HQ Address – Street Addr2 *
HQ Address – City **
HQ Address – State * Alabama (AL) Alaska (AK) Arizona (AZ) Arkansas (AR) California (CA) Colorado (CO) Connecticut (CT) Delaware (DE) Florida (FL) Georgia (GA) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY)
HQ Address – Postal Code **
POC **
POC Title **
POC Phone **
POC Email ***
Company Website *
Year Established *
Average Annual Revenue * Please enter 5-year average annual revenue, (if you have not been in business for 5 years, provide your most recent year’s revenue.)
Number of Employees ***
UEI *
CAGE Code *
Business Classification (check all applicable fields that apply) *
Is your company now or has it ever been debarred or suspended from working federal contracts? * Is your company now or has it ever been debarred or suspended from working federal contracts? NoIs your company now or has it ever been debarred or suspended from working federal contracts? Yes
Are you currently in a Mentor Protege relationship? * Are you currently in a Mentor Protege relationship? NoAre you currently in a Mentor Protege relationship? Yes
If Yes, Who is your Mentor(s)? *
If Yes, Which Government Agency? *
Geography (check all applicable fields that apply) * Please select all States licensed to do business or primary geographic support area
Services/Products (check all applicable fields that apply) *
NAICS Code (check all applicable fields that apply) Please use the link below for more information about the codes
US Federal Agency Past Performance (check all applicable fields that apply) *
If Other, Provide Agency Name *
Have you worked with APTIM? * Have you worked with APTIM? NoHave you worked with APTIM? Yes
If yes, are you registered in Coupa (APTIM’s Vendor Management System)? * If yes, are you registered in Coupa (APTIM’s Vendor Management System)? NoIf yes, are you registered in Coupa (APTIM’s Vendor Management System)? Yes
Additional Information *

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