Franchise/Partnership Application Type of Application(Required)Franchise (International)Partnership (U.S.)Name(Required) First Middle Last Title(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)List of Additional Authorized Trainers with Brief Description of Experience:(Required)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:(Required)INCLUDE EVIDENCE OF INCORPORATION INCLUDING NATION (AND STATE, IF APPROPRIATE) AND LICENSING IF REQUIRED IN YOUR REQUESTED REGION.Occupational Safety and Health Training Experience:(Required)DEMONSTRATE PREVIOUS EXPERIENCE DELIVERING OCCUPATIONAL SAFETY AND HEALTH TRAINING TO ADULTSStatus as a Training Organization(Required)(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:(Required)EXPLAIN THE ORGANIZATION'S PROCESS AND EXPERIENCE FOR DEVELOPING AND UPDATING OCCUPATIONAL SAFETY AND HEALTH TRAINING.Training Facilities:(Required)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:(Required)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:(Required) Composition of Company Offerings: Will This Company Offer For Sale Training Courses, Services, or Products Other Than Those Provided by NASP/IASP?(Required) Yes No If so, Thoroughly Explain. (Explain how you will insure that offering NASP/IASP courses will not negatively impacted by your other offerings)(Required)After submitting the application, please visit https://naspweb.com/product/partnership-application-fee/ and pay for the $200.00 application fee.NameThis field is for validation purposes and should be left unchanged.