Y-12 provides opportunities for small, small 
disadvantaged, and woman-owned businesses and for minority institutions.
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Application Form Instructions

Follow these instructions to save, complete, and submit the protégé application form (Word format). You might want to print these instructions for handy reference.

  • Click on the link to the form.
  • When given the option to open or save the file, choose Save. Add your company name to the file name (e.g., UCN-21585-MyCompany.doc).
  • Save the file to a location on your computer where it can be easily found.
  • Navigate to the location of the form, and double click on the filename to open it.
  • Use the tab key to move from one fillable field to the next, providing the information requested.
  • When complete, save the file. Double check to ensure that the file name includes your company's name.
  • Open your mail program, and address an email to mentorprotegeapps@y12.doe.gov (or simply click on the linked email name to open your mail program with the proper address).
  • Compose the email message and attach your completed version of UCN-21585 to it. Add your email address in the cc list if you wish.
  • Hit the Send button.

If you have questions or problems, contact us.