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International Partner - Information Request Form

Thank you for your interest in partnering with Imparta.

We want to work closely and effectively with our partners so we only invest our time and resources in those companies and people who are particularly well positioned to succeed.

To help us assess your likely fit with our selection criteria, please respond to the following questions. In accordance with our privacy policy ,all information will be treated as confidential and will not be shared with any third parties. If you haven’t read our information on becoming a partner, please do so before completing this form. We’ll endeavour to respond within 48 hours.

If you have any questions please contact:

Mark Abell,
Head of International Development
Tel: +44 (0)20 7610 8800

Fields marked with * are compulsory ...

Your details

Company: *
Website Address:
Title: *
First Name: *
Last Name: *
Job Title: *
Email Address: *
Phone: *
Address 1: *
Address 2:
Town/City: *
Postal Code / Zip Code: *
Country: *
Desired Territory for Partnership - the areas, country or countries where you wish to represent Imparta: *
Summmary of Existing Relationships or Partnerships With Other Entities:
Business Rationale for Partnering with Imparta:

Information about your business

Currency Used for Financial Information:
Total Revenues 2009: *
Total Revenues 2008:
% of Revenue in 2009 from Training Activities: *
Ownership - Is the Business Privately Owned?
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Ownership - Is this Business Part of a Larger Group?
Number of Clients Served in 2009: *
Largest 3 Clients in 2009 by Name:

Staff

Current Total Number of Staff: *
No. of Full Time Trainers: *
No.of Associate / Part Time Trainers: *
No. of Sales People: *
No.of Training Designers/Developers:

Current activities

Workshop Based Training: *
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E-learning: *
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Virtual/Remote Training: *
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Consulting: *
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Coaching: *
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Assessment: *
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Impact Measurement: *
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Training Areas - Please select areas in which you currently provide

Marketing: *
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Consultative Selling: *
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Serviced Based (Telephone)Selling: *
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Leadership: *
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Commercial/Business Acumen: *
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Negotiation: *
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Others:

Other

Regional Offices - Please List locations with physical offices:
Geographic Coverage - List countries where you regularly deliver training but have no office presence:
Estimate the average price achieved per delegate per day in your current training activities (including all instructor fees and other training related fees):

Start Up Businesses

We’ll consider start up businesses as partners if the team launching the new business have the right experience, client contacts and resources. If you’re starting a new sales effectiveness business, please describe how you are financed, the members of your team and any concrete relationships you have that will help you build the business in the first two years.

Thank you for taking time to complete the form. Please 'submit' using the button below.

 
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