Vendor Contact Form
Please fill out all fields in their entirety; incomplete applications will not be accepted.
Vendor Contact Information
Vendor Name: *
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Local Representative Name: *
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Email Address: *
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Office Phone: *
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Cell Phone:
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Product Information
Product Name: *
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Product Description: *
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Primary End User: *
Check all that apply.
Is the product web-based? *
Briefly describe the product’s reporting capabilities:
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What type of customer service and technical support does the company offer? Please list hours of operation and support type (email, real-time chat, screen sharing, phone, etc.): *
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Administrative Concerns
Describe cost or pricing structure. Please attach price list or pricing information as available: *
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Projected professional development or training required: *
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Is the vendor willing to provide turnkey professional development to BOCES/MORIC staff?: *
Is the vendor willing and able to run pilot implementations? *
Are you aware of at least two MORIC districts interested in purchasing this product? *
If you answered yes to the question above, please provide contact information for the district representatives:
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Can the vendor provide at least three endorsements from districts in NYS? *
If you answered yes to the question above, please name the districts.
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Is the product currently available via NYS contract? *
Is this product currently being supported by any other BOCES or RIC in NYS? *
If you answered yes to the question above, what BOCES or RIC in NYS is supporting it?
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Is third-party research available about the product? *
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