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Black Channel Partner Alliance Membership Application

Black Channel Partner Alliance | Directory Application

A key objective of the Black Channel Partner Alliance is to establish this directory of members and participants, to easily select partners and their services. With this directory, more businesses will be visible to prospective companies and subsequently chosen for sales opportunities. Please add your company profile to our marketplace to be connected to these incredible opportunities.

Black Channel Partner Alliance | Directory Application

A key objective of the Black Channel Partner Alliance is to establish this directory of members and participants, to easily select partners and their services. With this directory, more businesses will be visible to prospective companies and subsequently chosen for sales opportunities. Please add your company profile to our marketplace to be connected to these incredible opportunities.

First name*

Last name*

Email

Phone number*

Company name*

Website URL*

Street address*

City*

State/Region*

Zip code*

Are you an existing partner in the Microsoft Partner Network? If so, please provide your company’s MPN ID, find it here: http://aka.ms/mpn_id

Company Type*

Sponsor
Vendor
Advocate
Supplier

Number of full-time employees*

Number of W2 Employees*

Owner Net Worth

Years in Business*

Years experiance with Azure*

Please select the industries you support*

Healthcare
Non-Profit
Financial
Federal Government
State and Local Government
Retail
Manufacturing
Education
Other

Please Provide a brief description of your organization*

Is the Business at least 51% Black-owned? Y/N*

Is your company 51% Black-owned or managed.*

Yes
No

Do you have federal contract experience?*

Do you have an active Facilities Clearance (FCL)?

Yes
No

Do you have State/Local Government Contract Experience?*

Highest Level of Security Clearance

What existing contract vehicles, Government Wide Acquisition Contracts (GWACs), or Indefinite Delivery, Indefinite Quantity (IDIQ) contracts are you on as prime?

Please list the key contracts with federal agencies your company is on. Please indicate if your company is sub or prime.

Please list the key government customers your company serves.

Are you willing to subcontract under Microsoft Services prime engagements?*

Yes
No

How many total customers do you currently have?*

Annual revenue

At what CSP Tier is the company?*

Which Microsoft Products does your company sell?*

Data and AI
Azure
Modern Work
Dynamics
Teams
Business Applications
Power Platform

Revenue Sources *

Consulting
Service
Products
Managed Services
Other

Please enter your Data Universal Numbering System (DUNS) Number

Please list any 3rd Party Certifications your organization has obtained (Women Owned, DBE, MBE, etc.)

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Black Channel Partner Alliance

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