Supplier Diversity Profile

Minority and Women-Owned Supplier Survey

Fields marked with an asterisk(*) are required.

Errors on the form are preventing it from being submitted.

Supplier Information

Business Activity
Business Type

Check one or more if applicable

SIC#
Has your company done business with Bayer Corporation before ?*

Notice: All contractors and subcontractors who are guilty of false representation will be subject to penalties, as required by 15 U.S.C. 654(d) and FAR 52.219-9(e)(4).


Supplier Classification

Check one from each category

Gender*
Challenge*
Ethnicity*

Certified By & Certification Numbers

Check one or more if applicable. If you are certified by any of the agencies below, or any other agency, please provide a copy of your current certification papers to: Jonathan Allison, Bayer Corporation, 100 Bayer Road, Pittsburgh, PA, 15205-9741; FAX 412.777.7533, e-mail bayer.supplierdiversity@bayer.com

Agency
Certification#
Please Specify
Please Specify