Section 1: Non-Healthcare Supplier Intake Information
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Company * |
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Street * |
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City * |
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State / Province * |
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First Name * |
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Last Name * |
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Primary Contact
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Name * |
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Phone * |
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Title * |
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Email * |
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Person authorized to enter into an agreement with NOVO Health
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Name * |
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Phone * |
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Title * |
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Email * |
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Location of all U.S. offices (city and state) * |
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Would participation be initially limited to one or more locations? If so, please describe. * |
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What types of services would you be interested in providing in the Supplier's
Market? (e.g. legal, business advisory, janitorial, human resource,
project management, banking, construction) *
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Section 2: Membership Criteria
Cultural Fit
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How does your service model allow for client control? Decision-making? Oversight? Etc. * |
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What distinguishes your organization from others in your industry (quality, experience, cost control)? * |
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What metrics do you capture, monitor and control to ensure your organization is meeting the needs of your clients? * |
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