Partner Prospect Registration Form

(Please click SUBMIT when finished)

Cognitient Corp. partners must complete this form to request registration of sales opportunities prior to a pursuit. The registration process is designed to avoid multiple partners competing for the same opportunity. Cognitient Corp. will evaluate each request and respond via email to the partner contact who manages the Cognitient relationship. Incomplete registration forms will extend processing time.
If Partner # is unknown, or not listed, select "Other," complete the rest of the form and send an email indicating both the Partner and Prospect names to
Please select your role in this pursuit
Requested by*
Please select the industry that most accurately describes the business unit
Accurate prospect revenue is needed for pricing
Please enter a number greater than or equal to 1000000.00.
Name of Sponsoring Executive*
Please provide the business unit name of the sponsoring executive
Please select the business function that most closely describes the business unit
Please provide the name used by the prospect's business/organization to describe the project/initiative
Please multi-select (CTRL+CLICK) each analytic model required to address this project/initiative.
Cognitient Offering(s)
Please indicate each analytic model you are selling to address this project/initiative
MM slash DD slash YYYY
Please provide the nickname commonly used within the prospect's business/organization to describe this location
Location Address*
Drop files here or
Accepted file types: doc, pdf, Max. file size: 512 MB.
    You can drag and drop pertinent files into this field
    This field is for validation purposes and should be left unchanged.