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 Certifications
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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 received
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