Consortium Participant Application

Participant Application for the Consortium

Consortium Application

What do your clients think is your organization's primary strength? *

What do you think is your organization's primary strength? *

What is your organization's average growth rate over the past 5 years? *

What is your organization's projected average growth rate over the next 5 years? *

Your First Name *

Your Last Name *

Your Title *

Your Responsibility in Your Organization *

Your Organization Name *

Organization Website/URL *

https://www. or http://www.

Organization Email *

Organization Physical Street Address *

Organization Physical Street Address 2

Organization City *

Organization Country *

Organization Postal / Zip Code *

Organization Main Telephone Number *

Your Direct Telephone Number *

Year Organization Founded *

Number of Full Time Employees *

Number of Part Time Employees *

Number of Contractors *

Organization Description *

Organization Managing Principals (please list all names and titles) *

Do all of your Managing Principals have equity in your Organization? *

Yes

Organization Services *

Primary Organization Service *

How did you learn about the Consortium? *

Please tell us why you would like your organization to become a Consortium Participant. *

Please upload a strong example of your work, such as a detailed report. We are particularly interested to see your writing skills. *

Maximum upload size: 268.44MB

Please list your top clients (at least six). *

Has your organization ever been insolvent? *

Yes

Has your organization ever been involved in a lawsuit? *

Yes

Has anyone in your organization ever had a criminal conviction or are any criminal charges pending? *

Yes

Has anyone in your organization ever had their professional memberships, certifications, or licenses been revoked or suspended, or been censured or disciplined by any professional organization? *

Yes

I confirm that the information I have provided on this application form to the best of my knowledge is true, accurate, current and complete; and I agree to notify the Consortium promptly if any information contained on this application form should change. *

Clear

Notes or Questions

If you are human, leave this field blank.