Channel Partner Application

All fields are required.

Company Name
Address
City
State/Prov		Postal Code
Country
Contact Person
Phone
Fax
E-mail

The following questionnaire is designed to determine whether there is likely to be a good fit between our respective organizations. All information submitted will be treated in a highly confidential manner and only be shared within Passlogix with people who need to know.

When was your company founded?

How many full time employees do you have in the following categories?

	Inside sales representatives
	Outside sales representatives
	Pre-sales engineers
	SE's / Practice Managers
	Marketing Staff

In the last calendar year, what were your revenues?

What was the breakdown in revenues between product and service?
Product Service

What was the average $ amount in product sales (per deal)?
< 50K
> 50K
> 100K

What is the average sales cycle?
0-3 months
3-6 months
6+ months

Was the company profitable on a GAAP basis?
Yes
No

Please indicate your outside sales representatives' level of contact within their client/prospect base from the following client personnel:

		Often	Sometimes	Rarely
a.	IT Manager
b.	Business Manager
c.	IT Director
d.	Business Director
e.	IT Vice President
f.	Business Vice President
g.	Chief Security Officer
h.	Chief Technical Officer
i.	Chief Information Officer
j.	Chief Financial Officer
k.	CEO/COO

Please indicate the average size of your client base in each category:
Fortune 100/500
Fortune 1000
SMB

Please indicate the types of industries you sell to/call upon:
(check all that apply)

Financial		Pharma
Government		Health Care
Manufacturing		Insurance
Education		Other

Have you engaged you clients in discussions regarding identity management and/or SSO?
Yes
No

Which technologies have your account teams sold, deployed and/or supported?
(describe and check all that apply)

Technology	Product(s)	Sold	Deployed	Support

Directories (e.g. LDAP, MS ActiveDirectory, Novell NDS eDirectory, SunONE Directory)

Access Management Solutions (e.g. Netegrity SiteMinder, Oblix NetPoint, OpenNetwork Directory Smart, Entrust GetAccess, RSA ClearTrust)

Authentication Solutions (e.g. Smart Cards, Biometrics, Tokens etc.)

Provisioning Solutions (e.g. BMC Control SA, IBM Access Manager, WaveSet Lighthouse, Thor Technologies Xellerate)

Please indicate your certifications with the following vendors:

Vendor		Certification(s)

Microsoft
Sun
IBM
Novell
Citrix
RSA