Partner Registration Form | Inspection & Other Quality Professionals

1
Referrer
2
Type a question
3
Your Name* This field is required.
First Name
Last Name
4
Email* This field is required.We'll need a valid email address to communicate with you.
example@example.com
5
Phone Number* This field is required.So that we can reach out to you regarding project opportunities that match your skills.
6
Your Address* This field is required.
7
Business Name* This field is required.If you don't have a registered business and act as an individual independent contractor, enter your legal name here.
8
What services do you provide?* This field is required.Which services do you primarily provide to your customers?
General Inspection, Rework, and/or Containment
Specialized Inspection and/or Testing
On-Site Representation (e.g., Liaison or Resident Engineer)
Quality Engineering
General Auditing & Consulting
9
What industries are you experienced in?* This field is required.Select all that apply; we may ask for verification or references of your experience in these sectors.
Aerospace
Agriculture
Automotive
Clothing & Textiles
Consumer Products
Energy (Oil & Natural Gas)
Healthcare
Home Appliances
Medical Devices
Other Manufacturing
Other
10
Professional Qualifications* This field is required.Enter any special certifications or qualifications you have, such as "Lean Six Sigma Black Belt" or "ISO 9001 Lead Auditor"
11
How much do you charge for your services?* This field is required.
USD
Please Select
USD
CAD
EUR
MXN
Currency
Rate
Please Select
Please Select
Per Hour
Per Day
Rate Type
12
How far are you willing to travel for projects?* This field is required.From your home base of {partnerAddress}
Up to 30 miles
Up to 100 miles
Within my home country (with travel costs reimbursed)
Globally (with travel costs reimbursed)
13
What's your ideal amount of work?* This field is required.This helps us understand how many opportunities we should send your way.
Several days a week
Once a week
A couple times a month
A few times a year
14
In addition to yourself, do you have other employees that work for you?* This field is required.
Its just me
2-10 employees
More than 10 employees
15
Please upload a completed W-9 or W-8BEN form.* This field is required.For subcontractors (partners) in the USA: 🔗 Online fillable W-9 form For international subcontractors (partners): Individuals: 🔗 Online fillable W-8BEN form Businesses/Entities: 🔗 Online fillable W-8BEN-E form
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
Liability Insurance Coverage* This field is required.Please upload a copy of your current liability insurance coverage. Liability insurance coverage minimums: -$1,000,000 for each occurrence -$2,000,000 aggregate coverage
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
17
Workers Compensation Insurance* This field is required.Because you have employees, we are required to verify you have the appropriate Workers Compensation Insurance coverage in place. Please upload a copy of your current workers compensation insurance coverage. Minimum coverage: -$100,000 for each occurrence -$500,000 aggregate coverage
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
How did you hear about us?* This field is required.
Search engine
Email marketing
LinkedIn
Facebook
Trade Show or Event
Existing or previous customer
Existing or previous vendor
Recommended by a friend/colleague
Other
19
Who referred you to our partner program?We'd like to thank them!
20
Anything else we should know?Tell us anything notable about you, and why you're interested in joining our network.
Huge
Large
Normal
Small
Ok
Ok
21
Terms & Conditions* This field is required.
Should be Empty: