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


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.

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:


Supporting Materials

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


William (Bill) Pearce
William (Bill) Pearce
Third Party Services Program Manager

Purdue Manufacturing Extension Partnership, 8626 E. 116th Street, Suite 200, Fishers, IN 46038-2815, (317) 275-6810

© 2017 Purdue University | An equal access/equal opportunity university | Copyright Complaints | Maintained by Manufacturing Extension Partnership

Trouble with this page? Disability-related accessibility issue? Please contact Manufacturing Extension Partnership at