Manufacturing Extension Partnership

Third Party Provider Application

Please complete the following information for consideration as a Third Party Provider to Purdue MEP.

All applicants must also submit three references via our Reference Questionnaire.

General Information

Organization Name

Address

City

State

Zip

Phone Number

Fax Number

Company Website

Primary Contact

Title

Primary Contact Phone Number

Primary Contact Email

Qualifications

Please provide a descriptive summary of your expertise and capabilities (up to 100 words):

Distinctions: Please provide any relevant and active memberships, certifications, licenses, awards, and other notable distinctions.

Principle role: Please check the one category below that best describes the services your organization most often provides to manufacturers:

Management Consulting

Training Services

Engineering Services

Information Technology Services

Areas of expertise

Please rank in order of their importance up to four of the listed areas of expertise, which best describe your particular area(s) of expertise.

Additional area(s) of expertise:

Industry focus

Please rank, in order of importance, up to four of the listed industry areas, which best describe the particular industries in which you have worked:

Additional industry area(s):

Activity: Please indicate how many different clients you have served as a consultant in the past two years.

References

Please provide references from at least three clients for which your organization has served as a consultant. It is your responsibility to ensure your references complete our Reference Questionnaire form. Alternatively, you may upload letters of recommendation.

Supporting Materials

To help us present your credentials to clients, please attach additional materials such as:

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

Contact

William (Bill) Pearce
Manager, Grant Programs
765-496-7861
wpearce@purdue.edu

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Purdue Manufacturing Extension Partnership, 550 Congressional Blvd., Suite 140, Carmel, IN 46032, (317) 275-6810

Trouble with this page? Disability-related accessibility issue? Please contact Manufacturing Extension Partnership at mepsupport@purdue.edu.

Third Party Provider Application

Please complete the following information for consideration as a Third Party Provider to Purdue MEP.

All applicants must also submit three references via our Reference Questionnaire.

General Information

Organization Information

Qualifications

Areas of expertise

Industry focus

References

Supporting Materials

Contact

Organization

Contact

Employees

Resources