B Solutions Partner PROGRAM APPLICATION

BRANTLEY SOLUTIONS SUBCONTRACTOR PROGRAM APPLICATION

Available To Metro Atlanta GA Area
Pre-Qualification Acknowledgement
You understand that you MUST have your own transportation and working cell phone at all times as a Brantley Solutions LLC Subcontractor *

Yes
You understand that this is a Contractor position and NOT an employee position *

Yes
You understand that you will be paid on a contract basis under this program? *

Yes
You acknowledge that you understand that contractors do not get employee benefits (i.e. holidays off, medical insurance, overtime pay, etc.) and you are okay with that. *

Acknowledge
Is your background clean? If not, please explain in the box provided *

Yes

MOVE FORWARD TO THE APPLICATION
Subcontrator Application
Your Name *

First Name Last Name
Company Name
(If already established)
E-mail *
The best email that you have that comes to your phone
Phone Number *

Area Code Phone Number
Upload A Photo ID

Browse Files
or turn it in once you get to training Cancel of
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Choose the counties you would most prefer to provide service in *

	1st Choice	2nd Choice	3rd Choice	4th Choice	5th Choice	6th Choice
Counties

SUBCONTRACTOR CERTIFICATION

Subcontractor Certification Fee $ 2,500.00

Add Starter Kit Supplies $ 500.00

Select this if you do not have CBN approved commercial supplies and equipment already

Total $ 0.00

BRANTLEY SOLUTIONS SUBCONTRACTOR PROGRAM APPLICATION