BlackBerry Enterprise Partner Program
Training Qualification Submission Form
Partner Information
Partner Name: Click here to enter text.
Legal Company Name: Click here to enter text.
Doing Business As (dba): Click here to enter text.
Address: Click here to enter text.
Street: Click here to enter text.
City: Click here to enter text.
ZIP/Postal Code: Click here to enter text.
State/Province: Click here to enter text.
Country: Click here to enter text.
Main Phone: Click here to enter text.
Main Fax: Click here to enter text.
Main Email: Click here to enter text.
Company Website: Click here to enter text.
Company Email Domain:Click here to enter text.
Other Company Locations: Click here to enter text.
Years in Business: Click here to enter text.
Current or Target Partnership Achievement Level: Click here to enter text.
What are the current services you provide to BlackBerry customers:
Please provide 3 customer references:
Company Name: Click here to enter text.
First Name: Click here to enter text.
Last Name: Click here to enter text.
Phone Number: Click here to enter text.
Email Address: Click here to enter text.
Company Name: Click here to enter text.
First Name: Click here to enter text.
Last Name: Click here to enter text.
Phone Number: Click here to enter text.
Email Address: Click here to enter text.
Company Name: Click here to enter text.
First Name: Click here to enter text.
Last Name: Click here to enter text.
Phone Number: Click here to enter text.
Email Address: Click here to enter text.
First Name / Last Name / Email Address / Technical CertificationsClick here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Please complete the table below with your staff’s skills and accreditation level (as applicable):
Provide documentation of proof of proficiency, (i.e.: pdf attachments, or scanned copy of transcripts, diplomas, certificates)
Please provide references (names/dates) on BlackBerry products and services you have received training from a BlackBerry business unit, technical staff, and/or an Authorized Training Partner:
First Name / Last Name / Email Address / Description of Training receivedClick here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /