EVERYTHING DiSC^® REQUEST FORMS

Marketing Partnership Program Form

Complete and submit this application to participate in our Marketing Partnership Program. Your application must be submitted at least 14 days prior to the event.

Learn More

Partner Information

First Name*:

Last Name*:

Email*:

Partner ID*:

Event Information

Event Name*:

Session Title*:

Event Location*:

Link to Host Organization Website:

Event Date*:

Event Time:

Anticipated Number of Attendees*:

Product Requested (Select One)*:

Number of Access Codes Requested*:

Please include proof of your involvement as a featured speaker at this event by typing the link to the event website in the box below, OR uploading a letter, flyer, or other documentation as evidence.

Event URL:

Or, Upload Proof of Involvement:

Select a file

Program Participant Requirements

Please check each item to indicate your agreement to the program requirements. ALL ITEMS BELOW ARE REQUIRED.

I have attended Jumpstart.

I acknowledge that I am a keynote speaker or breakout session leader at an industry association conference, and that I am not being paid.

I understand that if my application is accepted, the access codes provided may only be used in association with this event and that this program is not intended to provide me with free access codes for a single company training event or pilot program.

I understand that all access codes will expire 10 business days after my event, and I agree to destroy all access codes not used for the event immediately after the event.

I understand that this program is designed to help Authorized Partners and Associates attract new customers.

Because I may encounter other Partners’ clients at my event, I will respect the guidelines set forth in the Authorized Partner and Associate Handbook about the Professional Code of Conduct.

Type your name to agree to the above program requirements*:

*Required Fields.
If you have questions about the program or the form, contact Partner Care at MPP@mindlabconnect.com.