California Department of Transportation 

Southern California Alliance (Districts 7, 8, and 12) 

Application for Mentor-Protégé Program 

(For Potential Protégé only) 

 

 

Business Name: ________________________________________________________________________ 

Address: ________________________________________________________________________ 

Phone: ________________________________________________________________________ 

President: ________________________________________________________________________ 

Type of Business: ________________________________________________________________________ 

List Professional References: 

 

Name 

 

Telephone Number 

 

 

 

 

 

 

 



1. Please list three specific goals that your firm would like to gain from participating in the program. 


 

 

 

 


2. Please list three items that our firm brings to the relationship 


 

 

 

 


3. Is your firm currently SBE certified? Yes No 
4. Can your firm provide proof of current certification? Yes No 
5. If not, are you planning to be SBE certified? Yes No 
6. Has your firm worked with any of the following agencies? 
a. Caltrans Yes No 

b. LACMTA Yes No 

c. Local Agencies Yes No 




 d. Other Governmental Agencies Yes No 

7. How long has your firm been in business? 
8. What is your average annual revenue for the past three years? ________________2004, _______________2005, 
________________2006