New Hampshire Manufacturing Extension Partnership | NH MEP

Third Party Resource Application

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General Information:

Company Name(Required)

Name(Required)

First Last

Job Title(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Website

Were you referred to NH MEP?(Required)

Yes

If yes, by who

Organization Information:

Organization Type(Required)

Please Specify Organization Type

Years Established(Required)

Number of Full-time Employees(Required)

Please indicate the type of insurance coverage you have(Required)

General Liability

Automobile Insurance

Worker's Compensation

Professional Liability

Do Not Know

Please indicate which counties you are willing to work(Required)

Please select those that apply(Required)

Veteran Owned Small Business Enterprise

Persons with Disability Business Enterprise

Disadvantage Business Enterprise

Other

None

Disadvantage Business Enterprise (specify type)

Other

Qualifications:

Distinctions (Certs, licenses, awards)(Required)

Languages(Required)

Please provide a descriptive summary of your expertise and capabilities(Required)

What do you do?(Required)

How will NH MEP’s clients benefit from your services?(Required)

How can NH MEP’s account managers identify and qualify potential clients?(Required)

How do you price your services?(Required)

How can we create a win-win-win situation for the client, you, and NH MEP?(Required)

Capabilities(Required)

Have you worked with other MEP Centers? Please describe(Required)

Organization's role(Required)

Other (please specify)

Industries that you work with(Required)

Industries that you DO NOT work with(Required)

How many different clients have you served as a consultant for in the past two years?(Required)

Supporting Materials:

Resume or Curriculum Vitae (CV) of Principle; brochure or other marketing materials; sample of work, etc.(Required)

Drop files here or

Accepted file types: pdf, docx, png, jpg, gif, pptx, Max. file size: 50 MB, Max. files: 5.

References: Please provide references from at least three clients for which your organization has served as a consultant.

Drop files here or

Accepted file types: pdf, docx, png, jpg, gif, pptx, Max. file size: 50 MB, Max. files: 5.

**Alternative to reference letter. Click here to fill out the reference questionnaire.**

Name

This field is for validation purposes and should be left unchanged.

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