CONTRACTORS’ APPLICATION FORM Contractor’s Information Name (required) Company / Trading Name (required) Email address (required) Home# (required) Mobile # (required) Work #(required) Business Address(required) Date became a contractor or # of years as a contractor(required) Are you contracted with NHC or have worked for NHC in the past(required) YesNo Please state Where(required) Are you a registered member of the st. Kitts building contractors’ association? YesNo Upload license or document as proof(required) Please select the resources that are available to you carpenters Quantity Truck(s) Quantity Masons Quantity Concrete Mixer Quantity Painters Quantity Generator (electric) Quantity Electricians Quantity Jacks Quantity Plumbers Quantity Labourers Quantity Others Quantity Name two (2) clients (past or present) that are references not related to you Name required Telephone Number required Project Undertaken required Name required Telephone Number required Project Undertaken required List at least three (3) housing or commercial projects that you have worked on Project's Name required Type of project required Approximate Value ($) required Project's Name required Type of project required Approximate Value ($) required Project's Name required Type of project required Approximate Value ($) required Are you human?(required)