Name:

Title:

Company:

Email address:

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Address:

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City:

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Details

If you chose "Other" above, please explain here:

Types of Consulting:

Strategy and Planning
Creating a Program
Mentoring
Pilot/Proof of Concept
Architecture/Analysis/Design
Implementation
Product Selection/Evaluation

What stage are you in regarding your BPM efforts?:
Please Choose One Preliminary Planning: learning about available solutions Evaluation: Selecting solution approach and strategy Selection: Identifying specific processes and solutions Adoption: Have pilot projects underway Implementation: Integrating into everyday/regular usage

Please provide a brief description of the results you want to achieve:

Scope of Project (# of days):

Preferred dates:

Budget:

Do you commitment from Senior Management:

Yes
No

Have you developed a document that defines your requirements:

Yes
No

Who else would be involved in a go/no-go decision:

What is the make-up of your team:

Consists mostly of consultants
Some consultants, some employees
Mostly employees with leadership, mentoring or specialization from consultants

If you chose "Other" above, please explain here:

What is the size of your team:

less than 5 individuals
6-10 individuals
11-25 individuals
26-50 individuals
Other

If you chose "Other" above, please explain here:

What other information would you need from us in order to help you make your decision?:

Are you interested in our Certificate of Training Program:

Yes
No

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