Just take a few moments to read Important Facts About Being a VPMEP Third Party Provider and then complete this online application. Please note that applications will only be considered through this secure website submission. The application requests information about your areas of expertise, industry focus, general qualifications, and three references that we may contact about consulting work you have conducted in the past.

We look forward to receiving your completed online application and to the possibility of working with you!

Please indicate the number of people your organization employs full time.

Please provide a Federal Tax ID Number (or Social Security).
Are you a Certified Small Business? Yes No
Minority Business Enterprise Information

Are you eVA registered? Yes No
eVA Information

Do you have an active Security Clearance? Yes No
If 'Yes' what level? Expiration date

Do you have professional liability insurance or the equivalent?    Yes    No
Liability amount $
     If yes, please indicate the source of this insurance and its expiration date.
     Source    Expiration Date

Please indicate the DAILY rate (or a range) that you normally charge clients for contract work.

Please indicate the geographic areas of Virginia in which you are willing to work.

Optional ~ Please provide a descriptive summary of your expertise and capabilities.

Please list any relevant and active memberships, certifications, licenses, awards, and other notable distinctions.

Please select the one general category that best describes the services your organization most often provides to manufacturers.   Please Select One Management Consulting Training Services Engineering Services Software Development/Application

Please rank in order of importance up to four expertise codes that best describe your particular area(s) of expertise.
#1        #2        #3        #4  

Please rank in order of importance up to four industry focus codes that best describe the particular industry(ies) with which you have worked.
#1        #2        #3        #4  

Please indicate how many years your organization has provided consulting services.

Please indicate how many years of industry experience your organization has.

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

Please provide at least three references who we may contact concerning projects for which your organization served as a consultant. Please list references with projects that are as similar as possible to those you anticipate conducting through VPMEP.