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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