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GENEDGE ALLIANCE relies on outside private and public consulting resources to deliver services for many of our projects with manufacturers. Although inclusion in the GENEDGE ALLIANCE database of third party providers does not guarantee that you will be awarded contracts, it does assure that your services will be considered by our project managers as needs arise.

Just take a few moments to read Important Facts About Being a GENEDGE ALLIANCE 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!

Primary Contact Title
Secondary Contact Title
Organization
Street Address
Mailing Address
City  State  Zip Code
E-Mail Address URL Address
Primary Phone Fax
Secondary Phone Fax
Is your organization a
If 'Other' please specify

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

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 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've served as a consultant in the past 2 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 GENEDGE ALLIANCE.

IMPORTANT - Your application will not be
processed unless two or more references are provided.
Contact     Title
Organization
Address
City  State  Zip Code
Phone         Fax
Project Start Date      Project End Date
Project Description
Contact    Title
Organization
Address
City  State   Zip Code
Phone          Fax
Project Start Date      Project End Date
Project Description
Contact    Title
Organization
Address
City   State   Zip Code
Phone           Fax
Project Start Date      Project End Date
Project Description
How did you first hear about GENEDGE ALLIANCE?  
*IMPORTANT*

I have read and agree to the Important Facts About Being a GENEDGE ALLIANCE Third Party Provider.

Yes No

To retain a copy of your completed application please
print before clicking on the "Submit Application" button.

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