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InterSystems SCM Partner Event Application Form

Thank you for your interest in the InterSystems Supply Chain Management Partner Event, held in association with the TechMarketView Innovation Partner Programme.

You can find further information about the qualification criteria along with FAQs and terms and conditions on our website at www.techmarketview.com/scmtipp. PLEASE TAKE THE TIME TO READ THIS INFORMATION BEFORE APPLYING.

Please complete this application form and submit it by 6pm Friday 21st January 2022.

Partnership opportunity sessions will be held in London during February 2022. Dates will be advised at least two weeks prior.

After we review your application we may ask for further information about your company to assist our evaluation.

We aim to advise the status of your application by Monday 31st January 2022. 

To apply, you need to be an established solutions provider to the supply chain management (SCM) and logistics sector serving SMEs and enterprises predominantly in the UK and Ireland. You could be an independent software vendor, a systems integrator or a hybrid cloud professional and/or managed services organisation that delivers a solution to SCM and logistics customers.

The form should be completed by the Founder, CEO, MD or other senior executive.

This form is most easily completed on a laptop or tablet though will also work with small form-factor devices. Please note that response boxes with a little triangle in the bottom right can be expanded to whatever size you need by clicking and dragging on the triangle. You can then insert multiple lines of text. Response boxes without a triangle are single line, for short amounts of text only.

We strongly suggest you print your completed form BEFORE you press the submit button using your browser's print facility so you have a record of your application.

YOU WILL RECEIVE A CONFIRMATION EMAIL IF THE FORM IS SUBMITTED SUCCESFULLY. IF YOU DO NOT RECEIVE AN EMAIL PLEASE NOTIFY amiller@techmarketview.com

For any further information please contact amiller@techmarketview.com.

For the purposes of GDPR, details of our privacy policy can be found here.

 
COMPANY OVERVIEW

Company name *
(Registered company name (and trading name if different))
 

Company Number *
(Registered company number)
 

HQ city *
(In which city is your headquarters located?)
 

Year founded *
(In which year was your company founded?)
 

Number of employees *
(How many people currently work for your company (Full Time Equivalents) )
 

Company description *
(Brief description (couple of sentences) of your company's products/services. Please avoid boilerplate from your website. )
 

Primary revenue source *
(Select from the drop-down list the PRIMARY source of your company's revenues)
 

Primary revenue source (explanation)
(Please add any explanation if needed)
 

Revenues *
(What are your current annualised revenues (select from the dropdown list))
 

Company ownership *
(Which of the following options best describes ownership of your company?)
 

Company ownership (explanation)
(Please add any explanation if needed)
 

SOLUTION OVERVIEW

Business solutions *
(Which of the following are provided by your business (select all that contribute more than 5% of your revenues))
 

Business solutions (explanation)
(Please add explanation if needed)
 

Solution maturity *
(Which of the following best describes the maturity of your primary solution or services for the supply chain management sector)
 

Solution maturity (explanation)
(Please add explanation if needed)
 

Intellectual property *
(What proportion of your revenues do you consider to be attributable to your own intellectual property (IP))
 

USP *
(What makes your solution special - even unique? What is it that truly differentiates your solution in the marketplace?)
 

CUSTOMERS AND MARKETS

Sector focus *
(Which of the following sectors does your solution or services primarily play to? Please select all that apply and use the following question to explain if needed)
 

Sector focus (Explanation)
(Please add explanation if needed)
 

Customer locations *
(Where are your clients located? Please select all regions that generate at least 5% of your revenues)
 

Customer locations (explanation)
(Please add any explanation if needed)
 

Leading market *
(Which region generates the highest revenue for your business by location of customer? )
 

Leading market (explanation)
(Please explain if needed)
 

Reference clients *
(Please give the names of a couple of organisations who you consider as reference clients)
 

PARTNERSHIPS

Current partners
(Please name any partners organisations that account for 10% or more of your current revenues.)
 

Partnership proposition *
(Why do you think you would make a great partner for InterSystems?)
 

Ambition *
(How would you like your company to be viewed by the market in, say, five years' time?)
 

Obstacles to growth *
(What are the main obstacles to your company's growth? Please select up to three)
 

Other obstacles
(If Other, please explain)
 

RESPONDENT INFORMATION

First name *
 

Surname *
 

Position/Title *
(This application is best completed by the company Founder, CEO/MD, or other senior executive)
 

Respondent phone number *
 

Respondent email address *
 

Company website address *
 

Company LinkedIn page
 

Company Twitter handle
 

Source *
(How did you hear about the InterSystems Partner Pitch Event?)
 

Source (Other)
(Please explain if you replied 'Other')
 

PLEASE PRESS THE GREEN 'SUBMIT' BUTTON WHEN COMPLETE. If you do not see a confirmation screen, please scroll up and check that all mandatory fields have been completed and then press SUBMIT again.

The information in this form will be used by authorised TechMarketView and InterSystems personnel and authorised partners with a specific need to know to assist in the evaluation of applicants as potential InterSystems partners. Applicant information will not be passed to other third party organisations without permission from the applicant company.