Franchise/Partnership Application Please enable JavaScript in your browser to complete this form.Type of Application *Franchise (International)Partnership (U.S.)Name *FirstMiddleLastTITLE *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Phone *LIST OF ADDITIONAL AUTHORIZED TRAINERS WITH BRIEF DESCRIPTION OF EXPERIENCE: *Authority to Apply. Provide a copy of the resolution by the Board of Directors, Board of Regents, company president, Chief Executive Officer or other governing body of the organization approving the submittal of an application to the NASP/IASP to become an NASP/IASP franchisee.INCORPORATION STATUS: *INCLUDE EVIDENCE OF INCORPORATION INCLUDING NATION (AND STATE, IF APPROPRIATE) AND LICENSING IF REQUIRED IN YOUR REQUESTED REGION.OCCUPATIONAL SAFETY AND HEALTH TRAINING EXPERIENCE: *DEMONSTRATE PREVIOUS EXPERIENCE DELIVERING OCCUPATIONAL SAFETY AND HEALTH TRAINING TO ADULTSSTATUS AS A TRAINING ORGANIZATION: *(THIS APPLIES ONLY TO APPLICANTS THAT ARE NOT COLLEGES OR UNIVERSITIES.) DOCUMENT THAT TRAINING OR EDUCATION IS THE PRINCIPAL ACTIVITY OF THE ORGANIZATION.CURRICULUM DEVELOPMENT: *EXPLAIN THE ORGANIZATION'S PROCESS AND EXPERIENCE FOR DEVELOPING AND UPDATING OCCUPATIONAL SAFETY AND HEALTH TRAINING.TRAINING FACILITIES: *PROVIDE DETAIL INFORMATION REGARDING CLASSROOMS, LABORATORIES, AND TESTING FACILITIES AVAILABLE - INCLUDE TRAINING ADDRESS(ES); AND ORGANIZATION'S ABILITY TO PROVIDE STANDARD CLASSROOM TRAINING ACROSS THE REQUESTED REGION.PROJECTED EFFECT: *PROJECT THE NUMBER OF STUDENTS TO BE TRAINED IN NASP/IASP COURSES FOR EACH OF THE FIRST THREE YEARS OF OPERATION. INCLUDE PROPOSED COURSES TO BE TAUGHT. PROVIDE GEOGRAPHICAL EXTENT FOR THESE PROJECTIONS (WHAT GEOGRAPHIC AREA ARE YOU REQUESTING FOR FRANCHISE?)PROJECT THE GROSS INCOME FROM NASP/IASP COURSES DURING THE FIRST THREE YEARS OF OPERATION. *COMPOSITION OF COMPANY OFFERINGS: WILL THIS COMPANY OFFER FOR SALE TRAINING COURSES, SERVICES, OR PRODUCTS OTHER THAN THOSE PROVIDED BY NASP/IASP? *YesNoIF SO, THOROUGHLY EXPLAIN. (EXPLAIN HOW YOU WILL INSURE THAT OFFERING NASP/IASP COURSES WILL NOT NEGATIVELY IMPACTED BY YOUR OTHER OFFERINGS)Partnership Fee *Price: $ 200.00Credit Card Number *CardName on CardTotal$ 0.00Submit