Awakened Innovations-Service Provider Application
The purpose of this form is to collect information from service providers interested in participating in Awakened Innovations to provide high-quality services to not-for-profit companies. Please fill this out as fully as possible. We will be verifying information to the extent possible.
Email address *
*
Last Name *
Position *
Phone number *
Company Name *
Is your business a CERTIFIED MBE or WBE? *
Company Website *
If you have one, what is your company's tagline?
BBB Link (if you have one) *
Any additional validation of your work and the quality of your work. Testimonials, review pages, etc.
Services you would like to provide through this platform (title, list price, not-for-profit price) *
Do you currently already have a referral-type program where you compensate people who send you referrals? What terms do you currently provide? *
Will you be able to provide testimonials attesting to the quality of your work? *
For vetting purposes. Reference #1. A previous customer who can speak to the quality of your work. Please provide: Name, company name, title, email, phone number. *
For vetting purposes. Reference #2: A previous customer who can speak to the quality of your work. Please provide: Name, company name, title, email, phone number. *
Any additional information you would like to provide.
I understand that this agreement is as an independent contractor. No employment, partnership, or joint venture is implied or established. *
Required
I understand this is an offer to be listed in a database of service providers. No guarantee is made regarding the number or other characteristics of potential clients presented. *
Required
I agree that I, or the company I represent, will provide work in line with expectations of my industry. If the customer has an issue with services provided, I agree to work in good faith to arrive at a mutually agreed upon resolution. Awakened Innovations may, at its sole discretion, participate to resolve such issues. *
Required
I understand this is a commercial arrangement and agree to pay any agreed upon fees to Awakened Innovation. These will be agreed upon before-hand in writing or by electronic communication. *
Required
I agree that any liability that arises from my work will be my sole responsibility and will not be the responsibility of Awakened Innovations. *
Are you interested in referrals to for-profit companies?
Clear selection
Would you like to be notified of news related to Awakened Innovations through our mailing list and other avenues?
Clear selection
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