Selection Questionnaire for DW Partner
Please answer the following questions completely and
confidentially, so that Psychological Associates can properly assess the
potential for a mutually beneficial relationship. We will be happy to
supply you with similar information on our own organization. |
| Your Organization |
| Company Name |
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| Company Address |
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| Company City |
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| Company Country |
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| Company Mail Code |
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| Company Telephone |
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| Company Fax |
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| Your E-mail Address |
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| Company Website URL |
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| Principals |
| Name 1 |
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| Title - Name 1 |
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| Fluency in which languages - Name 1? |
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| Name 2 |
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| Title - Name 2 |
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| Fluency in which languages - Name 2? |
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| Name 3 |
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| Title - Name 3 |
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| Fluency in which languages - Name 3? |
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| Company Background |
| Please describe the
following: |
| 1. What consulting
and/or training services does your company currently offer
clients? |
| a) Your own services: |
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| b) Services developed by other companies (if
applicable): |
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| 2. What percentage of
your company's time is spent: |
| a.) Selling: |
percent |
| b.) Consulting: |
percent |
| c.) Training: |
percent |
| d.) Design of
products or services: |
percent |
| e.) Other: |
percent |
| |
| 3. What percentage of
your company's revenue is derived from: |
| a.) Consulting: |
percent |
| b.) Training: |
percent |
| c.) Design of
custom training: |
percent |
| d.) Sales of
off-the-shelf programs: |
percent |
| e. Other: |
percent |
| |
| 4. Describe academic
degrees, background, and experience of your principal
professionals. |
| Name and degree(s) - Professional 1: |
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| Description - Professional 1: |
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| Name and degree(s) - Professional 2: |
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| Description - Professional 2: |
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| Name and degree(s) - Professional 3: |
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Description - Professional 3: |
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5. How many professional
level employees: |
| Full time: |
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| Part time: |
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| Contracted: |
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What are their functions and/or
areas of expertise: |
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| 6. How many
administrative/support employees? |
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| 7. Describe your office,
its resources and ability to develop new business prospects: |
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| 8. What alliances and
partners have you worked with in the past two years (if any)? |
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| 9. What clients have you
worked with within the last two years? (Confidential) |
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| 10. What senior
executives/human resource personnel would serve as a reference
for the work you are known for? |
| Name and Title - Reference 1: |
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| Company Name - Reference 1: |
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| Address - Reference 1: |
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| City, Country, Mail Code - Reference 1: |
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| Telephone - Reference 1: |
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| Fax - Reference 1: |
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| E-Mail - Reference 1: |
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| Name and Title - Reference 2: |
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| Company Name - Reference 2: |
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| Address - Reference 2: |
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| City, Country, Mail Code - Reference 2: |
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| Telephone - Reference 2: |
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| Fax - Reference 2: |
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| E-Mail - Reference 2: |
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| Name and Title - Reference 3: |
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| Company Name - Reference 3: |
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| Address - Reference 3: |
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| City, Country, Mail Code - Reference 3: |
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| Telephone - Reference 3: |
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| Fax - Reference 3: |
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| E-Mail - Reference 3: |
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