LISTING OF SYSTEM INSTITUTIONS THE UT SYSTEMS OF HIGHER EDUCATION AND STATE OF TENNESSEE Locally Governed Universities Austin Peay State University East Tennessee State University Middle Tennessee State University Tennessee State University Tennessee Technological University University of Memphis UT System University of Tennessee – Chattanooga University of Tennessee – Knoxville University of Tennessee – Martin University of Tennessee – Memphis University of Tennessee – Tullahoma Tennessee Board of Regents, System Office Chattanooga Community College Cleveland State Community College Columbia State Community College Dyersburg Community College Jackson State Community College Motlow State Community College Nashville State Community College Northeast State Community College Pellissippi State Community College Roane State Community College Southwest Tennessee Community College Volunteer State Community College Walters State Community College TCAT-Athens TCAT-Chattanooga TCAT-Covington TCAT-Crossville TCAT-Crump TCAT-Dickson TCAT-Elizabethton TCAT-Harriman TCAT-Hohenwald TCAT-Jacksboro TCAT-Jackson TCAT-Knoxville TCAT-Livingston TCAT-McKenzie TCAT-McMinnville TCAT-Memphis TCAT-Morristown TCAT-Murfreesboro TCAT-Nashville TCAT-Newbern TCAT-Oneida TCAT-Paris TCAT-Pulaski TCAT-Ripley TCAT-Shelbyville TCAT-Whiteville State of Tennessee Departments
ATTACHMENT 6.12 Vendor Application Form Mailing Address: Tennessee State University Telephone: (615) 963-5181 Office of Procurement Services Facsimile: (615) 963-5192 3500 John A. Merritt Boulevard Nashville, Tennessee Complete all information and submit for inclusion www.tnstate.edu/procurement of your company for invitations to bid. 1. Company Name and Bid Address 2. Address to which payments are to be mailed. (If same as No. 1, leave blank.) 3. Telephone: 4. Telephone (other): 5. Fax: 6. Name of Contact Person: 7. Email Address of Contact Person: 8. Company URL (website): 9. Federal Identification Number (FEIN): 10. Social Security Number (If no FEIN): 11. Type of Organization (select one): 12. Kind of Ownership (check all that apply): Individual Partnership Non-Profit Organization Corporation State of Incorporation: ______________ Year of Incorporation: ______________ Government (GO) Non-Profit (NO) Majority (MJ) Minority (MN) Woman (WO) Small (SM) Service-Disabled Veteran (SDV) 13. Minority Ethnicity Code (select one): 14. Annual Sales (select one): African American (MA) Native American (MN) Hispanic American (MH) Asian American (MS) $0 - $499,999 $500,000 - $749,999 $750,000 - $999,999 $1,000,000 - $1,999,999 $2,000,000 and over 15. Type of Business (select one): Agriculture/Forestry/Fishing Architectural/Design/Engineering Finance/Insurance/Real Estate Marketing/Communications/Public Relations Transportation/Commerce/Utilities Medical/Healthcare Information Systems/Technology Educational/Manufacturing/Service Industry Mining/Retail Trade/Wholesale Trade _____________________ 16. Number of Employees: __________ 17. Excluded from federal procurement or non-procurement programs? Yes No 18. Preference for reporting purposes (select one): Small Woman-Owned Minority Service-Disabled Veteran Tennessee University is an Equal Opportunity/Affirmative Action University.
Vendor/Product Information Vendor Name Product Name Product Version Completion Date Contact Name/Title Contact Email/Phone Specific Issues Issue Description Current Status (Open, Closed, I/P) Disposition (Planned, Deferred, I/P) Remediation Timeline Available Workarounds Comments Images on the landing page lack equivalent alternate text Open Planned Q3, 2015 release (v1.2) Functional images will receive descriptive alternate text; decorative images will receive null alternate text. Additional Information: