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InGenesisInGenesis
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    • Contact Information
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    InGenesis Supplier Registration

    Welcome to InGenesis’ Supplier Registration Portal. All suppliers interested in being considered for InGenesis procurement opportunities should register here.

    Information provided during registration will be used to identify suppliers that demonstrate the ability to add value and provide high-quality goods and services that are competitively priced, reliable, and aligned with our business priorities.

    Before beginning, please gather the following information:

         •  Company contact information
         •  Tax ID Number
         •  Company history and capabilities overview
         •  A list of your products/services offered
         •  Details on service area covered or area in which your products are distributed

    An acknowledgement receipt of your registration will be sent automatically when the completed company profile is submitted. Please note that registration as a supplier does not guarantee business with InGenesis, place your company on the list of approved suppliers, or require InGenesis to solicit requests for quotes or proposals. Registering as a supplier simply allows InGenesis to review your company information when searching for suppliers for new or upcoming opportunities. If there is a need for your products and/or services, you may be contacted by one of our purchasing representatives.

    This information will be kept in our database and will be used to identify potential vendors for future opportunities. While InGenesis uses this supplier database to search for qualified vendors, inclusion in our database does not guarantee consideration for future procurement opportunities.

    At any time, you may save your progress and come back at a later time with the 'Save and Continue Later' link at the bottom of the form. You will not be able to make changes once your registration is submitted.

Save and Continue Later
  • 1. Company Identification

Save and Continue Later
  • 2. Ownership

    List the primary owner as well as any other owners of the company. Please ensure that all ownership is captured and that the summation of the Ownership % column is equal to 100.
  • NameOwnership %
  • NameOwnership % 
Save and Continue Later
  • 3. Corporate Contacts

  • Authorized Primary Contact

    Must have the ability to bind the company
  • Second Authorized Contact

    Must have authority to make operational decisions on behalf of the company.
Save and Continue Later
  • 4. Address & Locations

    • Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code 
    Save and Continue Later
    • 5. General Questionnaire

    • YearRevenue 
    • MM slash DD slash YYYY
    • Business NameFederal Employer Identification NumberFull Business AddressBusiness Phone Number 
    Save and Continue Later
    • 6. Past Performance & References

    • Customer NamePrimary Service ProvidedContract PeriodTotal Previous Year Revenue 
    • NameEntity/CorporationEmailPhone Number 
      References should match customers listed above
    Save and Continue Later
    • 7. Capabilities & Service Listings

      To better understand your capabilities please fill out the information below by labor category. The information provided should reflect the performance of your company as a whole and not for a specific program.
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • # FTEs filled in your last fiscal yearRevenue for your last fiscal year
    • If yes, please provide details regarding your experience, including the dates, location, reason for the surge, your response, and the scope of services performed for each category below.
    Save and Continue Later
    • 8. Geographic Capabilities

      Please select the geographic regions that your company is currently providing services. There is additional space at the bottom where you may add any comments or supporting information.
    Save and Continue Later
    • 9. Certifications

      Please identify any certifications your company holds. Multiple selections are acceptable.
    • CertificationCertifying OrganizationCertification NumberExpiration Date 
    • CertificationCertifying OrganizationCertification NumberExpiration Date 
    Save and Continue Later
    • 10. Attachments

      Please upload any relevant materials that support your capabilities. You may submit up to 10 files and each file must be 10MB or less in size.
    • Drop files here or
      Max. file size: 10 MB, Max. files: 10.
      Save and Continue Later
      • Registration Submission

        You are about to submit your registration to InGenesis. By clicking "Submit" below, you are certifying that the information you provided is complete and accurate. Once submitted, you will not be able to make changes to this Registration.
      Save and Continue Later


      1-866-448-0033
      solutions@ingenesis.com

      Copyright © 2021 InGenesis, Inc.
      All rights reserved.

      Privacy PolicyTerms of Use
      • About Us
        • Learn More
          • About Us
          • Guiding Principles
          • Mission, Vision, Values
          • Corporate Careers
        • Certifications & Recognition
          • Certifications and Recognition
          • NIST Malcolm Baldrige
          • Client Testimonials
          • Employee Testimonials
        • Corporate Social Responsibility
          • Disaster Management
          • Disaster Recovery
          • Diversity and Inclusion
      • Healthcare Careers
        • Nurses
        • Physicians
        • Allied Health
        • Advanced Practitioners
        • Life Sciences
        • Professional Services
        • Education Professionals
      • Workforce Solutions
        • Research and Standards
          • Healthcare Standards Institute
          • ISO TC 304 Healthcare Organization Management (HOM)
        • Staffing Solutions
          • Travel Nursing and Allied Health
          • Locum Tenens
          • Temporary and Per Diem
          • Emergency, Pandemic and Surge
        • Total Talent Solutions
          • Managed Service Provider
          • Functional Service Provider
          • Independent Contractors and Payrolling
          • Recruitment Process Outsourcing
          • Occupational Health
          • Life Sciences
          • Consulting and Statement of Work
          • Comprehensive Healthcare
          • Direct Hire
      • Contact Us
        • Contact Information
        • Supplier Registration
        • Verification of Employment
      • Search & Apply

      InGenesis
      18756 Stone Oak Parkway, Suite 200
      San Antonio, TX 78258

      T: 1-866-448-0033
      E: solutions@ingenesis.com

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