Tyson Foods Inc.: Supplier Diversity Registration

Tyson Foods, Inc. (NYSE: TSN)
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May 16, 2008 4:01 PM EST
Last Trade: $18.26

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How Do You Register?

It's simple. Enter your information into the Supplier Profile form below. When you have completed the form, we will send an electronic receipt acknowledging your application.

Next, email a copy of your minority/women business certification to this address:

supplier.diversity@tyson.com

or mail to:

Supplier Diversity Program
Tyson Foods, Inc.
P.O. Box 2020
Springdale, AR 72765
CP351

We will review your application and follow up with you when we have an opportunity that fits your business.


Step #1	Retail Supplier Diversity Drive Tyson (new window) Fresh Meats Tyson International Forms and References
Step #2

Supplier Profile
Fields marked with an * are required.

Company Information

Company Name:*
Company Type:*
Which of the following best describes your company?* Manufacturer Distributor Not Applicable
Street Address:*
City:*
State:*		Postal Code:*
Telephone Number:*		Fax Number:*
E-mail Address:*
Web Site Address:
Contact Name:*
Federal Tax ID Number:	Example: 12-1234567
Dun & Bradstreet Number:	Example: 12-123-1234

Business Ownership
(Check all that apply.)*

African American	Hispanic American
Native American	Asian Pacific American
Asian Indian American	Other:
Alaskan Native Corporation or Alaskan Indian Tribe

Business Classification
(Check all that apply.)*

Large Business Concern	Veteran
Small Business Concern	Disabled Veteran
Woman-Owned	Disadvantaged Veteran
Disabled-Owned	Vietnam Veteran
Minority Business Concern	8(A) Designation
Hub Zone	Other:

List of Products and/or Services*

Additional Company Information

Standard Industry Code(s) (SIC):*

Is your company EDI ready?

Yes No

Is your company credit card (payment) ready?

Yes No

Has your business been certified by a third party organization?*

Yes No

If so, which organization? (Check all that apply.)*

National Minority Supplier Development Council (NMSDC) or its affiliate*

Certification No.:

Exp. Date (MM/DD/YYYY):

Women's Business Enterprise National Council (WBENC) or its affiliate*

Certification No.:

Exp. Date (MM/DD/YYYY):

Small Business Administration or its approved certification organization*

Certification No.:

Exp. Date (MM/DD/YYYY):

State Government

Certification No.:

Exp. Date (MM/DD/YYYY):

Municipal Government

Certification No.:

Exp. Date (MM/DD/YYYY):

Local Purchasing Councils

Certification No.:

Exp. Date (MM/DD/YYYY):

Self Certification

Certification No.:

Exp. Date (MM/DD/YYYY):

Other:

When contract mandates, can your company provide the following safety and insurance information?

Does your company have a safety program?	Yes No
OSHA Total Recordable Rate (TRR) for safety incidents for the past three years?	Yes No
Workers Compensation Experience Modification Rate (EMR) for the past three years?	Yes No
Commercial general and automobile liability insurance with limits of 2mm or greater?	Yes No

Where did you learn about Tyson Foods, Inc. Supplier Diversity Program? (Check all that apply.)

Expo	Women Council
Minority Council	Other:

Please identify the geographical area served (Check all that apply.)*

Gulf CoastMidwest
West CoastMid-Continent
NortheastRocky Mountain
SoutheastInternational

Annual Sales (past 3 years):*

$	Year 1 (most recent complete fiscal year)
$	Year 2
$	Year 3

Number of Employees:*

Number of Minority Employees:*

Year Company Established:*

Major Customers:*

Customer Name	Contact Name	Phone Number

Are you an existing Tyson Foods, Inc. Supplier?*

Yes No

If yes, please indicate which business units or organization of Tyson Foods you have conducted business with in the last 24 months. Also list the product/service and buyer/contact name(s).*

Business Unit/Organization	Product/Service	Buyer/Contact Name