Skip to main content

Diversity & Inclusion Program Attestation Form

BloomNet Diversity Program Attestation Form

To join our BloomNet Diversity Program, please self-identify by completing our self-attestation form below indicating that you are at least 51% owned, operated, managed, and controlled by a member of one or more of these specific/designated diverse groups:  

• Minority Owned Business*

*African American/Black, Asian American Pacific Islander (AAPI), Native American/Alaska Native, Latinx/Hispanic  

• Disabled Owned Business 

• LGBTQ+ Owned Business 

• Veteran/Disabled Veteran Owned Business 

• Woman Owned Business  

Select all that apply.
Select all that apply.