KMS Alliance Partner Application | KMS | Manufacturing Consulting in Kansas

Company Name *

Primary Contact Name *

Title *

Address *

City *

State *

Zip Code *

Email *

Phone *

Secondary Contact Name

Title

Address (If different from Primary Contact)

City

State

Zip Code

Phone

Website

Organizational Structure *

Private consultant

Private company

Community college/technical college

4-year college or university

Other training organization

Professional trade organization

Year Established *

Number of Full Time Employees *

Do you have current professional liability insurance or equivalent? *

Yes

If yes, indicate source of insurance and expiration date

Are you now or have you ever been debarred from receiving state or federal funds?

Yes

Expiration Date

Year

Month

Day

Upload Resume (PDF, DOC, DOCX,JPG)

Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf doc docx.

Upload Cover Letter (PDF, DOC, DOCX, JPG)

Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf doc docx.

Select which best describes your services: *

If Other

Please provide a descriptive summary of your experience and knowledge and capabilities. *

How will KMS' clients benefit from your services? *

Explain your current delivery method (ex: in-person, PowerPoint presentations, one-on-one training, etc.) *

Certifications, affiliations, associations, specialized training

Please provide your hourly billing rate. *

How many clients have you served in the past 2 years? *

How many billable hours are you willing to work monthly? *

Reference #1 - Previous Client - Name *

Reference Company's Name *

Reference Phone *

Reference Email *

Project description to include services delivered and project ROI: *

Reference #2 Name

Reference #2 Company's Name

Reference #2 Phone

Reference #2 Email

How are you associated with this reference:

Please type your name to indicate 1) that you believe the information you have provided is true and accurate to the best of your knowledge 2) KMS may contact references listed above. *

Should you/your company be selected to partner with KMS, you will be required to sign Non-Competition Clause. Please sign to indicate your acknowledgement of this request: *

Consultant hereby agrees and covenants that during, and for one (1) full year after expiration or termination of the Agreement, Consultant shall not, in the State of Kansas , either as principal, partner, agent, employee, director, officer or in any other capacity whatsoever: (1) perform, directly or indirectly, any services similar to those provided by KMS and/or its affiliates and/or subsidiaries to or on behalf of any individual, firm, partnership, company, corporation and/or other entity to whom KMS introduced the Consultant and/or for whom Consultant performed services in connection with the Agreement or (2) solicit any business similar to the business engaged in by KMS from any individual, firm, partnership, company, corporation and/or other entity to whom KMS introduced the Consultant and/or for whom Consultant performed services in connection with the Agreement.

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