Consultant Registration

Thank you for your interest in our Consultant Referral Service. This unique service will not only provide your firm increased exposure and brand awareness, but could also generate legitimately interested leads and prospects.

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 consulting 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 *

Sector/industry consulting experience (check all that apply)
Healthcare
Manufacturing
Service
Small Business
Government/Not-for-profit
K - 12 Education
Higher Education

Experience consulting on performance excellence
Organizational
experience		 Position experience
(i.e. examiner, judge, board member, etc.)		 Years of experience
(minimum 2 years)		 Additional information
CPEx
Baldrige
Other state program
Other experience

Consulting references
List three references that are representative of your firm's consulting capabilities

Reference #1:
Organization:
Contact Name:
Address:
City, State, Zip:
Phone:
Email:
Nature of consulting services provided:

Reference #2:
Organization:
Contact Name:
Address:
City, State, Zip:
Phone:
Email:
Nature of consulting services provided:

Reference #3:
Organization:
Contact Name:
Address:
City, State, Zip:
Phone:
Email:
Nature of consulting services provided:

Statement of Ethics

To preserve the integrity of this service, we require all consultants to agree to a Statement of Ethics. As a condition of being listed in the CPEx Consultant Referral Service, my firm:

  • agrees to accurately represent itself to prospects and clients secured through this service and agrees to accept only engagements in which they are qualified

  • agrees to respond promptly to prospect inquires from this service

  • agrees to uphold a high standard of professionalism, ethics, integrity, and quality during engagements secured through this service

  • agrees that it has obtained all licenses, bonding and insurance that are required or usually obtained within the industry the firm provides services

  • agrees that it is a member in good standing with any professional boards or oversight committees to which it belongs

  • agrees to all the terms and conditions contained in the Website Disclaimer, the Consultant 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

The credibility of this service is based on the integrity of the consultants listed in it: organizations will only hire consultants they trust identified through a source they trust. Therefore, CPEx has designed this process to ensure a high standard of ethics, professionalism, and quality. These mechanisms do not imply an endorsement of CPEx but represent a good faith attempt to ensure a minimum standard of quality for all consultants listed in the service.