Registration Information
POC Information
First Name
Last Name
Email
Phone
Organization Information
DUNS#
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Organization with same DUNS# already exists
Name
Address 1
Address 2
Primary Business Model
Select primary business model
VAR/Solutions Provider
System Integrator
Consulting Partner
Managed Services Provider
VAR- Appian Products and Services
City
State
Zip
Email Domain
Organization already exists
Company Overview
Technology Focus Areas
Manufacturers
Top 5 Customers
Annual Revenue
$0 - $10M
$10-$50M
$50-$250M
Over $250M
Socio Economic Status (Select All That Apply)
Small Disadvantaged Business (SDB)
Small Business (SB)
Large Business (LB)
Woman-Owned Small Business (WOSB)
HUBZone (HZ)
8(a) Small Business (SDA)
Native American-Owned Business (NAOB)
Service Disabled Veteran-Owned Small Business (SDVOSB)
Veteran-Owned Small Business (VOSB)
Additional Information About Organization
Contracts Held
Tell Us What Contracts You Hold as a Prime Contractor
Federal
State
None
Federal Contracts You Hold as a Prime Contractor (Select All That Apply)
Netcents 2
GSA Other
GSA 70
CIO/CS
ITES SW
ITES HW
Alliant
VETS 2
NASA SEWP V
DoD ESI
Army CHESS
Alliant SB
Others:Please List
Please list other federal contracts held
State Contracts (Add All Contracts You Hold as a Prime Contractor)
Add
Cloud Information
Do you generate revenue from reselling or providing Cloud IaaS services to the US Public Sector?
Yes
No
What are your primary focus areas in Cloud?
Federal
SLG
Education
Not for Profits
What are your primary functional areas in Cloud?
Strategy Consulting
Migration Services
Managed Services
Managed Security Services
Cost Management and Optimization Services
Do you resell Cloud IaaS to the US Public Sector?
Please provide the following information:
AWS
What is your APN Tier Status?
Registered
Select
Advanced
Premier
What is your annual AWS resell revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
Are you a direct or indirect reseller? (Direct/Indirect)
Direct
Indirect
MS Azure
Do you have a Microsoft Azure Competency?
Azure Consumption
Silver
Gold
Hosting
Silver
Gold
Distributor
Silver
Gold
Learning
Silver
Gold
What is your annual MS Azure resell revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
Are you a direct or indirect reseller?
Direct
Indirect
Google Cloud Platform(GCP)
What is your Google Partner Advantage Tier Status?
Member
Partner
Premier
What is your annual GCP resell revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
Are you a direct or indirect reseller?
Direct
Indirect
Oracle
What is your OPN Tier Status?
Cloud Standard
Cloud Select
Premier
Cloud Elite
What is your annual Oracle resell revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
Are you a direct or indirect reseller?
Direct
Indirect
Do you provide Cloud IaaS Professional and/or Managed Services?
Please provide the following information:
AWS
What is your APN Tier Status?
Registered
Select
Advanced
Premier
What is your annual AWS professional services revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
How many certified AWS resources do you have?
0-10
11-25
>25
MS Azure
Do you have a Microsoft Azure Competency?
Azure Consumption
Silver
Gold
Hosting
Silver
Gold
Distributor
Silver
Gold
Learning
Silver
Gold
Do you have a Microsoft Azure Advanced Specialization?
Windows Server and SQL Server Migration to Microsoft Azure
Linux and Open Source Databases Migration to Microsoft Azure
Kubernetes on Microsoft Azure
Data Warehouse Migration to Microsoft Azure
SAP on Microsoft Azure
Modernization of Web Applications to Microsoft Azure
Are you an Azure Expert Managed Services Partner?
Yes
No
What is your annual MS Azure professional services revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
How many certified MS Azure resources do you have?
0-10
11-25
>25
Google Cloud Platform(GCP)
What is your Google Partner Advantage Tier Status?
Member
Partner
Premier
What is your annual GCP professional services revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
How many certified GCP resources do you have?
0-10
11-25
>25
Oracle
What is your OPN Tier Status?
Cloud Standard
Cloud Select
Premier
Cloud Elite
What is your annual Oracle professional services revenue?
What % of this revenue is from US Public Sector (Federal, SLED and Not for Profits)
How many certified Oracle Cloud resources do you have?
0-10
11-25
>25
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