RFR 243128 DPH Honorarium Speakers Lecturers Application Form newest locked.docx
DOCX document 52 KB Posted
- Attached to
- RFR 243128 DPH Honorarium Speakers/Lecturers
- Solicitation number
- BD-23-1031-ADMIN-ADM07-86598
- Issued by
- Suffolk County, Massachusetts
About this file
This document is an Application Response Form for a Request for Response (RFR) issued by the Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health for Honorarium Speakers/Lecturers, RFR 243128. The RFR seeks applications from individuals with professional expertise to provide speaking engagements, with respondents required to describe their speaking experience, list any relevant licenses and certifications, and provide their maximum rate for speaking engagements, either per seating or per engagement. Respondents must attach a resume or CV, copies of relevant staff licenses and certifications, information on lecture topics, and a business reference form.
The RFR does not provide details on the total number of speakers/lecturers required, the duration of the contract, or any potential renewal options. Pricing terms indicate that respondents can provide either a per seating or per engagement rate. The RFR does not mention any set-asides, incumbent contractors, funding sources or amounts, or other salient information.
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The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619
APPLICATION RESPONSE FORM
RFR TITLE Honorarium Speakers/Lecturers
RFR 243128
First Name: [ ] Last Name: [ ]
LLC Company Name (if applicable): [ ]
Address:
City: [ ] State: [ ] Zip: [ ]
Telephone: ( ) -
E-Mail: [ ]
Organizational Affiliation (if any): [ ]
PROFESSIONAL EXPERTISE
List areas of professional expertise.
Enter text here; text limit 18000 characters
SPEAKING EXPERIENCE
Describe speaking experience related to expertise listed above.
Enter text here; text limit 18000 characters
List licenses and board certifications (upload licenses, credentials, or certifications if applicable as separate attachments to this application: [ ]
FOLLOWING DOCUMENTS ATTACHED
|_| Résumé(s) or CV(s).
|_| Copies of relevant staff licenses and certifications if applicable |_| Information on Lecture topics if applicable |_| Business Reference Form (references may be checked as part of engagement process)
MAXIMUM RATE
Include your maximum rate for speaking engagements. Rates can be offered per seating or per engagement.
Rate per seating: [$ ] or Rate per engagement: [$ ]
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