Consulting Partner Application

Contact Information

Contact Name *

First Last

Title *

Contact Email *

Contact Phone *

Contact address different from company?

Yes

No

Street

City

State

Zip/Postal

Description of Services *

Please provide a descriptive summary of your expertise and capabilities.

Attach Resume/CV (not required)

Maximum upload size: 33.55MB

List any other Degrees, Certifications, Distinctions and Languages not listed in your attached Resume/CV

References

List 3 professional references with contact information

Reference 1

Reference 2

Reference 3

Do you have professional liability insurance or the equivalent? *

Yes

No

Have you, or the Company you represent, ever been or are currently debarred from conducting business with the Federal or State Government pursuant to Executive Orders 12549 and 12689 “Debarrment and Suspension”? *

Yes

No

Preferred Geographic Service Area *

(check as many as apply)

Proposed Rate

(Actual Rate to be Determined)

Hourly *

Daily *

Experience Summary

Indicate your expertise level (1 to 5; 5 is an expert).
If an item is left blank, it indicates "No expertise".

Lean / Six Sigma Services

Quality Services

Growth Services

Sustainability Services

Strategic / Business Management/Planning Services

Product Development Services / Technology Services

Financial Analysis / Assistance Services

Sales and Marketing / Business Development Services

Engineering / Safety / Plant Layout Services

Information Technology (IT) Services

Workforce Training Services

Expertise in Other Services

Other Expertise 1

Other Expertise 2

Other Expertise 3

Company Information