Training ∙ Coaching ∙ Consulting · Training ∙ Coaching ∙ Consulting P a g e | 1 of 3 PMP, PgMP, CAPM, PMI-ACP, PMI-SP, and PMI-RMP are registered marks of the Project Management

Training ∙ Coaching ∙ Consulting

P a g e | 1 of 3

PMP, PgMP, CAPM, PMI-ACP, PMI-SP, and PMI-RMP are registered marks of the Project Management Institute, Inc.

GR8PM, Inc. • 1818 W. Francis Ave. #228, Spokane, WA 99205 • www.GR8PM.com • 619-890-5807

GR8PM PARTNER-AFFILIATE APPLICATION

Congratulations on choosing to investigate becoming a GR8PM Partner-Affiliate! Soon you will be on

your way to increasing your market credibility and income using GR8PM’s world-class suite of products

to teach classes.

It is our goal to make it as quick and easy as possible for you find out if the GR8PM Partner-Affiliate

Program is a good fit for you. Please follow the simple instructions below to apply, and we will contact

you to discuss your application and get things finalized as quickly as possible.

1. Review Partner-Affiliate Licensing & Non-Disclosure (NDA) Agreement. This step helps you be

clear on the requirements and ensure you have the desire and authority to accept the terms of the

Agreement.

2. If you decide you're ready to join the GR8PM Partner-Affiliate Community and accept the terms and

conditions of the Partner-Affiliate Licensing & Non-Disclosure (NDA) Agreement, sign it, scan it and

save it so you can email it to GR8PM along with this Application form.

3. Complete this Application form, including the three (3) references who know you and support your

ability to be a proud member of the GR8PM Partner-Affiliate Community, and save it.

4. Once you have completed and signed both the Application and the Partner-Affiliate Licensing & Non-

Disclosure (NDA) Agreement, sign it, scan it and email it to GR8PM at [email protected].

Application Form:

First Name:

Last Name:

Email Address:

Cell Number:

Other Phone:

Title:

Company Name (if applicable):

Address 1:

Address 2:

City:

State/Province:

Country:

Zip/Postal Code:


P a g e | 2 of 3



Company Description/Overview:

Company (or personal website) URL:

Do you have a merchant account and the ability to accept online payments? Yes or No

Are you a PMI-REP? Yes or No

Are you a Scrum Alliance REP? Yes or No

Do you belong to, or does the company have an affiliation, with IEEE? Yes or No

Do you belong to, or does the company have an affiliation, with any other professional user community?

Yes or No. If yes please provide the name.

Will you, or the company, be specializing in a specific Region? If so, which Country and Region(s)?

Will you, or the company, be specializing in a specific Vertical Market Segment(s). If so, which ones

(i.e., aerospace, construction, financial services, government (federal, state, local), healthcare,

insurance)?

Will you be the only Instructor for your company?

What industry certifications do you have (i.e., PMP, PMI-ACP, CSM, CSP, etc.)?

Please describe the teaching experience you have?

What language do you consider your ‘first’ language?

What other languages do you use to conduct business or teach?

References – Please provide:

Reference #1

Name:

Title:

Contact information (cell phone and email address):

Description of the relationship:

Reference #2

Name:

Title:



Reference #3

Name:

Title:



By signing below the applicant attests that everything provided or disclosed to GR8PM on this

Application form is true, accurate, complete and not misleading in any way, to the best of the applicant’s


P a g e | 3 of 3



knowledge. Further, the applicant agrees that should any untrue, inaccurate, incomplete or misleading

facts be discovered by GR8PM during, or following, the application and approval process it shall be

accepted as adequate grounds for removal from the Partner-Affiliate Program.

Signature: ________________________________________

Print Name & Title: _________________________________________

Date: _______________________________

Documents

Training ∙ Coaching ∙ Consulting · Training ∙ Coaching ∙ Consulting P a g e | 1 of 3 PMP, PgMP, CAPM, PMI-ACP, PMI-SP, and PMI-RMP are registered marks of the Project Management