Client Registration

Thank you for your interest in our Consultant Referral Service. This unique service is intended to help you identify possible consultants that can assist your organization in its improvement efforts. This service should be viewed as a tool. While it does not endorse or guarantee any particular consultant, it can help you identify possible resources for you to interview in making your final decision.

Please take a moment to complete the following registration form and submit it.

Need Help? Click here to contact us via email. Please state the nature of your question. We will respond as quickly as possible.

Note that fields marked with * are required. All others are optional.

Your Organization's Information
Name of company, firm, practice, or sole proprietorship *
Primary address *
City, State, Zip * * *
Web site URL
Number of employees
Are you (or a member of your firm) a
participant in CPEx? 		Yes No
Are you (or your firm) curently a
sponsor of CPEx? 		Yes No

Your profile will be shared with potential Consultants in order to provide them with needed information about your organization.

Contact information
Contact name *
Contact title
Contact address
City, State, Zip    
Contact phone *
Secondary phone
Contact fax
Contact email *

Organization's sector

Please select the description that best represents the organization's business sector:
Manufacturing
Public sector, government, military
K-12 education (profit or non-profit)
Post-secondary education (profit or non-profit)
Health care (profit or non-profit)
Non-profit (all other non-profit such as social, religious, charitable)
Service - retail
Service - transportation, utilities
Service - technology (hardware, software, middleware)
Service - all other (except non-profit)

Statement of Ethics. To preserve the integrity of this service, we require all consultants to agree to a Statement of Ethics. We also request that hiring organizations agree to a similar statement of ethics:

As a condition of using the CPEx Consultant Referral Service, my organization:

  • agrees to accurately represent itself and our improvement opportunity to consultants

  • agrees to respond promptly and professionally to consultants once we have started the interviewing, selection, and contracting process (though we understand that we have no obligation to contact any/all consultants referred to me by this service)

  • agrees to uphold a high standard of professionalism, ethics and integrity with consultants secured through this service

  • agrees to all the terms and conditions contained in the Website Disclaimer, the Client Agreement for CPEx Consultant Referral Services and the CPEx Code of Ethics/Conduct.

Do you agree to abide by this Statement of Ethics and the Client Agreement? Checking the "Yes" button is the same as your signature.
Yes No