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Home Expression of Interest

Expression of Interest

If you are interested in working with MAXIMUS, please complete this form as fully as possible. If you would like to provide information which does not fit within the form, there is an opportunity to upload a document at the end of the form.

1. Contact Details

Organisation Name: *

Status: *

Private Sector
Public Sector
Charity
Other

Office Address: *

Contact Name: *

Phone Number: *

Mobile: *

Email: *

Website: *

2. Coverage

Please indicate which lots you would like to partner in.

East of England
West Midlands
South East
Yorkshire and the Humber
North East
South West
London
North West
East Midlands
Wales
Scotland

Extent of Coverage: *

3. Services and Unique Selling Points

Please give an overview of the services you offer, outlining your unique added value offer. For example, do you provide end to end services in your area, or a specialised niche service? Do you offer any innovations, unique services, or superior performance?

Services:

End to End Provider
Niche Services Provider
Other

Unique Selling Points: *

4. Company Experience

Please give a brief company history. Please include how long you have been trading in the UK, and sample of the major contracts you currently hold.

Company History: *

5. Current Partnerships

Please briefly outline the current partnerships your organisation has with other local providers.

Current Partnerships: *

6. Quality & Finances

I confirm that the company has been in good financial standing for the previous 3 years, or for as long as you have been trading if less than three years. If we proceed with this partnership, we may ask for further evidence of this fact.

Please list any relevant quality certification you currently hold, eg ISO 9001, Matrix , etc

Relevant Quality Certification:

7. Performance

Please provide examples which demonstrate your performance against contractual targets, or more appropriate, provide examples of successful service delivery.

Performance Examples:

Other

Please attached any relevant files that you believe may assist in reviewing your company for partnership.

Attchment

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and Wales. Registered Company Number: 03752300