ESRI Business Partner Consultant Program Interest Form

Consultant Program Interest Form

THIS IS NOT AN APPLICATION

Thank you for your interest the ESRI Business Partner Consultant Program. The Consultant Program is designed to fit the needs of consultants providing services, such as implementation planning, database development, application development, and programming, on a customer-by-customer (project) basis to the end user community based on ESRI technologies.

We invite you to provide us with an introduction to your business and your goals for forming a business partner/consultant relationship with ESRI. Submission of this questionnaire does not automatically grant you authorization into the Business Partner Program. Once we have received your submitted questionnaire, an ESRI representative will contact you.

The information provided below will be kept confidential.
All fields are required.

Company Name:
Address:	(If your company has more than one office, please provide the address of the office from which this inquiry originates.)
City:
State:
Province:
ZIP or Postal Code:
Country:
Telephone:
Fax:
Company Web Site:
First Name:
Last Name:	(or the name of the person we should call to pursue this inquiry)
E-mail:
Are you currently a licensee of ESRI software? Yes No If yes, please specify which software:
ESRI Customer No.:

Please answer all questions.

Please provide us with a general overview of your current business. Feel free to mail company profiles, product brochures, or any other descriptive information that you would like to share with us.

In what year was your company established?

Number of employees:

How many professional staff members do you have dedicated
to consulting services?

What is your primary vertical market and/or technology focus?

Please provide information on your company's experience using ESRI software products.

Are you an ESRI Developer Network subscriber?

Which of the following consulting services are provided by your company?
Implementation Planning
System Integration
Data Conversion
Training
Web Hosting
Application Development

What geographical areas does your company cover?

What would your organization like to accomplish as an ESRI Business Partner?

Have you had any interaction with anyone else at ESRI regarding a possible business partner/consultant relationship? If so, who?

Thank you for your interest in the ESRI Business Partner Program. If you have question about the program, please contact a business partner development manager in your area, or e-mail: buspartners@esri.com.