Your Name (Representative)*
First Name
Last Name
Your Email*
I consent to my submitted data being collected and stored* Are items (e.g. manuals, folders, PowerApps, etc) being shipped to one address or multiple address?* NOTE: If, for example, you were only ordering an UNLIMITED elearning course for your client, you would choose "Nothing i am ordering needs to be shipped."
Attention to:
First
Last
SHIP TO Address
This address is a: Business Residence
SHIP TO phone:
Special Instructions:
What do you want to order? Choose the areas you want to order from:* When you choose an option, additional information will appear and it becomes too confusing if you combine any of these three things.
CHANGE Change an existing client plan. If your client wants to change levels within a Platinum, or from a Platinum to Gold/Silver or vise versa, there is where you request it.
Organization's PDPworks ID
This is the XXXX-XXX-XX number.
This organization wants to change to the following Plan: Upload New Contract Does this account already have a Certified PDP Professional to be the Key Contact? Remember : Platinum and Gold Plans REQUIRE a Certified PDP Professional to be the Key Contact.
Name of Key Contact for PDPworks Please input the name of the Certified PDP Professional who will hold the Key Contact role in PDPworks for this new account.
First
Last
Key Contact's Email Address Remember, each user must have a unique email address. So, if this person is already a user anywhere on PDPworks 4.0, be sure to make note of that in special instructions below.
See below to order the PDP Professional Certification. Special Instructions about the Changing of Plans Type out specific information you feel PDP Global needs to know about this change of plan.
RENEWAL Renew an existing account here. Please submit individual order forms if you have more than one account to renew.
RENEWAL: Organization's PDPworks ID
This is the XXXX-XXX-XX number.
Special Instructions about Renewal Contract Type out specific information you feel PDP Global needs to know about this renewal.
Upload Scanned Copy of Contract CREATE a New Account If you want a BRAND NEW account to be set up, then complete this section. It takes up to ONE business day to set up new accounts! If this is NOT a new account and you only want to add ADDITIONAL certifications to an existing client, please choose "CERTIFICATIONS: PDP Professional (Administrator), or ProScan Mentor or Train-the-Trainer."
Type of Account* You may choose one of the following types of accounts. If you are setting up more than one account, please submit each one separately. Note: The difference between "Client" and "Consultant" is for PDP's record keeping and refers to what type of organization the customer is. If they are an organization that will use PDP primarily for internal use with their employees, then choose "client." If they will taking PDP and using it to help other organizations or people who are not their employees, then choose "Consultant."
Confirmation: Are you a Primary Representative of PDP Global? Primary Representatives can set up Licensed Associates.Organization's Information What Type of PDPworks Plan do they want? Organization's Name, Address, and Phone Number
Number of Employees
Contract Amount
Payment Options Platinum Bundle contract with certifications and unlimited surveys Industry of Client Define that "other" industry is
Sectors Served Speical Instructions If needed, place special instructions about the new account here.
Key Contact Do you already have a Certified PDP Professional to function as the Key Contact for this account? Remember : Platinum and Gold Plans REQUIRE a Certified PDP Professional to be the Key Contact.
Name of the previously trained PDP Professional (Administrator) to function as the Key Contact for PDPworks Please input the name of the person who will hold the Key Contact role in PDPworks for this new account.
First
Last
Email of the Previously trained PDP Professional (Administrator) to function as the Key Contact for PDPworks.
Name of Key Contact for PDPworks Please input the name of the person to be trained as a PDP Professional who will hold the Key Contact role in PDPworks for this new account. NOTE: You must also input their information below under PDP Certifications so that we create their PDP eCampus account and enroll them in the the PDP Professional Certification.
First
Last
Position Title of Key Contact
Upload Scanned Copy of Contract Use this function to upload a copy of the PDP Contract.
PDP Certifications Is this/Are these Certification(s) for EXISTING Clients? Select the type(s) certification you are ordering for the following participant(s):* When you choose, additional information will appear. Also, you will need to note under each person again what type of Certification they require. This is not a mistake. Sometimes participants are in more than one certification and the only way to know this is to ask you again.
Total Number of Particpants In other words, how many TOTAL PEOPLE will be certified? e.g. if one person is being trained in BOTH PDP Professional and Mentor, it is still just 1 person. NOTE: There is a MAXIMUM of 10 at a time on the form. If you have more, than you need to submit additional forms.
Are all people from the same company or different companies? On the Certificates, will everyone in this order be from the same company, or will there be people from multiple companies trained at the same time?
Organization Name-Certification NOTE:This is important because organization name will go on the certificate!
PDPworks Account # for Organization This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Is this part of an Enterprise Solution? Check the box below if what you are ordering is part of an Enterprise Bundle and put additional information in "Special Instruction." If not, leave unchecked.
Special Instructions-Certification
PDP Professional Certifications Deliver by Date-(PDP Professional):
Date Format: MM slash DD slash YYYY
Ship PDP Professional Certificates with order? PDP Professional Certification Start Date
Date Format: MM slash DD slash YYYY
PDP Professional Certification End Date
Date Format: MM slash DD slash YYYY
PDP Professional RE-CERTIFICATIONS Deliver by Date-(RE-CERTIFICATION):
Date Format: MM slash DD slash YYYY
Ship RE-CERTIFICATION Certificates with order? RE-CERTIFICATION Start Date
Date Format: MM slash DD slash YYYY
RE-CERTIFICATION End Date
Date Format: MM slash DD slash YYYY
ProScan Mentor Certifications Deliver by Date-(ProScan Mentor):
Date Format: MM slash DD slash YYYY
Ship ProScan Mentor Certificates with order? ProScan Mentor Start Date
Date Format: MM slash DD slash YYYY
ProScan Mentor End Date
Date Format: MM slash DD slash YYYY
Train-the-Trainer What dates work best for your client who wants to be trained as a Train-the-Trainer This is for either Professional (Administrator) or Mentor Train-the-Trainer Certification. We will discuss with best mutually acceptable dates for training.
Manuals Shipping Please tell us if all the manuals are going to one address or multiple addresses. If they are going to multiple addresses, you will put address information after each individual.
Are the Manual being shipped to one address or mulitiple address Attention to (For Manuals):
First
Last
SHIP TO Address For Manuals:
This address to ship ALL manuals to is a: Business Residence
Phone Number Associated with the "Ship to" address Insert the phone number that is associated with the location to which the materials are to be sent.
Participant Details You are registering individuals for one or more certifications. You will need to choose the kind(s) of certification(s) EACH person taking part in.
NOTE 1 : Names MUST be spelled correctly for both access to PDP eCampus AND for certificates.
NOTE 2: Each participant you enter below will have a sheet placed in their each of their binder(s) providing them their username and password to access the eCampus.
NOTE 3: The login information is unique to each participant, but it is the same in all manuals that a participant receives).
Participant 1 Participant 1
First
Last
Email of Participant1
Organization Name (Participant 1)
PDPworks ID Number of Organization (Participant 1) This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
SHIP TO Shipping Address 1
This address is a (1): Business Residence
SHIP TO Phone Number (1) Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 1 Participant 2 Participant 2
First
Last
Organization Name (Participant 2)
PDPworks ID Number of Organization (Participant 2) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 2
SHIP TO Address Participant 2
This address is a (2): Business Residence
SHIP TO Phone Number (2) Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 2 Participant 3 Participant 3
First
Last
Organization Name (Participant 3)
PDPworks ID Number of Organization (Participant 3) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 3
SHIP TO Address Participant 3
This address is a (3): Business Residence
SHIP TO Phone Number (3) Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 3 Participant 4 Participant 4
First
Last
Organization Name (Participant 4)
PDPworks ID Number of Organization (Participant 4) This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 4
SHIP TO Address Participant 4
This address is a (4): Business Residence
SHIP TO Phone Number (4) Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 4 Participant 5 Participant 5
First
Last
Organization Name (Participant 5)
PDPworks ID Number of Organization (Participant 5) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 5
SHIP TO Address Participant 5
This address is a (5): Business Residence
SHIP TO Phone Number (5) Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 5 Participant 6 Participant 6
First
Last
Organization Name (Participant 6)
PDPworks ID Number of Organization (Participant 6) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 6
SHIP TO Participant 6
This address is a (6): Business Residence
SHIP TO Phone Number (6) Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 6 Participant 7 Participant 7
First
Last
Organization Name (Participant 7)
PDPworks ID Number of Organization (Participant 7) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 7
SHIP TO Address (7):
This address is a (7): Business Residence
SHIP TO Phone Number (7): Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 7 Participant 8 Participant 8
First
Last
Organization Name (Participant 8)
PDPworks ID Number of Organization (Participant 8) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 8
SHIP TO Address Participant 8
This address is a (8): Business Residence
SHIP TO Phone Number (8): Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 8 Participant 9 Participant 9
First
Last
Organization Name (Participant 9)
PDPworks ID Number of Organization (Participant 9) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 9
SHIP TO Address Participant 9
This address is a (9): Business Residence
SHIP TO Phone Number (9): Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 9 Participant 10 Participant 10
First
Last
Organization Name (Participant 10)
PDPworks ID Number of Organization (Participant 10) This is the number that has a pattern similar to the following: XXXX-XXX.XX. This is the number that has a pattern similar to the following: XXXX-XXX.XX. Leave blank if PDPworks ID number has not been assigned yet.
Email of Participant 10
SHIP TO Address Participant 10
This address is a (10): Business Residence
SHIP TO Phone Number (10): Insert the phone number that is associated with the location to which the materials are to be sent.
Type of Certification-Participant 10 PowerApp Materials & SELL Certification Which PowerApp(s) are you interested in? The following applies to RECRUIT, TEAM, COMMUNICATE, MANAGE, LEAD, and STRENGTHS:
Each PowerApp requires a 3-year license which costs a flat $300 fee per PowerApp paid to PDP.
License holders receive all the materials needed to facilitate the particular PowerApp including the Facilitator Guide.
Also, the logo of the company who purchased the license will be placed on the front cover of the Workbooks. You will need to upload the logo below. Representatives OR Clients may purchase a license. Workbooks cost $20 apiece and may be purchased by license holders.
Shipping (PowerApp Materials & SELL Certification) PowerApps must be sent to one (1) location per order. If you would like to send PowerApp orders to different locations you must submit multiple orders.
Attention to (PowerApp Materials & SELL Certification):
First
Last
SHIP TO Address for PowerApps
This address is a (PowerApp Materials & SELL Certification): Business Residence
SHIP TO phone number (PowerApp Materials & SELL Certification):
PowerApp Materials OR SELL Certification Date Need By:
Date Format: MM slash DD slash YYYY
Special Instructions (PowerApp Materials & SELL Certification)
RECRUIT NOTE: This PowerApp takes at minimum 3-4 hours in 2 sessions to complete.
RECRUIT License Question Name of the company who holds/will hold the RECRUIT license This is referring to whose ever logo is on the front cover. That is how we tell who owns the license for this PowerApp.
Upload Logo for Recruit Please upload a .png or .jpg file
RECRUIT Workbooks How many do you wish to order?
RECRUIT Folder Packs There are 25 folders in a pack. How many packs do you wish to purchase?
Additional RECRUIT Facilitator Guides When you purchase a license, you receive one (1) facilitator guide. If you would like additional Facilitator Guides you may enter how many you want here. Otherwise, leave it blank.
TEAM NOTE: This PowerApp takes at minimum 5-8 hours in 4 sessions to complete.
TEAM License Question Name of the company who holds/will hold the TEAM license This is referring to whose ever logo is on the front cover. That is how we tell who owns the license for this PowerApp.
Upload Company Logo for TEAM Workbooks Please upload a .png or .jpg file
TEAM Workbooks How many do you wish to order?
TEAM Folder Packs There are 25 folders in a pack. How many packs do you wish to purchase?
Additional TEAM Facilitator Guides When you purchase a license, you receive one (1) facilitator guide. If you would like additional Facilitator Guides you may enter how many you want here. Otherwise, leave it blank.
COMMUNICATE NOTE: This PowerApp takes at minimum 2 hours in 2 sessions to complete.
COMMUNICATE License Question Name of the company who holds/will hold the COMMUNICATE license This is referring to whose ever logo is on the front cover. That is how we tell who owns the license for this PowerApp.
Upload Company Logo for COMMUNICATE Workbooks Please upload a .png or .jpg file
COMMUNICATE Workbooks How many do you wish to order?
COMMUNICATE Folder Packs There are 25 folders in a pack. How many packs do you wish to purchase?
Additional COMMUNICATE Facilitator Guides When you purchase a license, you receive one (1) facilitator guide. If you would like additional Facilitator Guides you may enter how many you want here. Otherwise, leave it blank.
MANAGE NOTE: This PowerApp takes at minimum 3 hours in 2 sessions to complete.
MANAGE License Question Name of the company who holds/will hold the MANAGE license This is referring to whose ever logo is on the front cover. That is how we tell who owns the license for this PowerApp.
Upload Company Logo for MANAGE Workbooks Please upload a .png or .jpg file
MANAGE Workbooks How many do you wish to order?
Additional MANAGE Facilitator Guides When you purchase a license, you receive one (1) facilitator guide. If you would like additional Facilitator Guides you may enter how many you want here. Otherwise, leave it blank.
LEAD NOTE: This PowerApp takes at minimum 3-4 hours in 3 sessions to complete.
LEAD License Question Name of the company who holds/will hold the LEAD license This is referring to whose ever logo is on the front cover. That is how we tell who owns the license for this PowerApp.
Upload Company Logo for LEAD Workbooks Please upload a .png or .jpg file
LEAD Workbooks How many do you wish to order?
LEAD Folder Packs There are 25 folders in a pack. How many packs do you wish to purchase?
Additional LEAD Facilitator Guides When you purchase a license, you receive one (1) facilitator guide. If you would like additional Facilitator Guides you may enter how many you want here. Otherwise, leave it blank.
STRENGTHS NOTE: This PowerApp takes at minimum 3 hours in 3 sessions to complete.
STRENGTHS License Question Name of the company who holds/will hold the STRENGTHS license This is referring to whose ever logo is on the front cover. That is how we tell who owns the license for this PowerApp.
Upload Company Logo for STRENGTHS Workbooks Please upload a .png or .jpg file
STRENGTHS Workbooks How many do you wish to order?
Additional STRENGTHS Facilitator Guides When you purchase a license, you receive one (1) facilitator guide. If you would like additional Facilitator Guides you may enter how many you want here. Otherwise, leave it blank.
SELL (PowerApp+) NOTE: This PowerApp takes at minimum 3-5 hours in 2 sessions to complete.
Sell+ Facilitator Certification To order the SELL Workbooks you must have completed a certification in SELL PowerApp+.
Name of TRAINER who holds/will hold the SELL license This is referring to the person who is trained and certified to present/facilitate the SELL PowrApp+ PowerApp
SELL Workbooks How many do you wish to order?
SELL Folder Packs There are 25 folders in a pack. How many packs do you wish to purchase?
eLearning Do you want access to Unlimited Courses/Seats or a Specific Number of Courses/Seats? Unlimited eLearning Courses Click to order the Unlimited Courses Client Organization's PDP ID for Unlimited eLearning
eLearning Employee & Manager Development Plan Client Organization Name for eLearning
Number of STRENGTHS Courses
Number of MANAGE Courses
Number of COMMUNICATE Courses
Replacement Pages for Manuals (for certifications that occurred 4/1-11/17/2017) This section is for requesting replacement pages for the PDP Professional Manuals or ProScan Mentor Binders .
This/these individual client(s) had certification purchased from PDP Global between April 1, 2017 and Nov 17, 2017 Since this/these certification(s) are out side the window, you will need to order a replacement manual(s) at a materials cost. Please complete the information below to order a REPLACEMENT MANUAL(S). For more information on the cost of replacement manual cost in the
Wholesale Pricing Worksheet in the Rep Library. How many companies are you ordering replacement pages for? You may input a maximum of 5 different companies who had people trained between April 1, 2017 and Nov 17, 2017. If you have more than people from more than 5 companies, you must complete multiple order forms.
Name of Company 1 In put the name of the company who had people trained.
Address- Company 1
Company 1- Name of each person AND if it is a Professional or Mentor Certification
Name of Company 2 In put the name of the company who had people trained.
Address- Company 2
Company 2- Name of each person AND if it is a Professional or Mentor Certification
Name of Company 3 In put the name of the company who had people trained.
Address- Company 3
Company 3- Name of each person AND if it is a Professional or Mentor Certification
Name of Company 4 In put the name of the company who had people trained.
Address- Company 4
Company 4- Name of each person AND if it is a Professional or Mentor Certification
Name of Company 5 In put the name of the company who had people trained.
Address- Company 5
Company 5- Name of each person AND if it is a Professional or Mentor Certification
Replacement Manuals This is where you order replacement manuals for your clients who have already been trained as PDP Professionals (Administrators) or ProScan Mentors. NOTE: This for updated materials only. If your client would like to have eCertification access on PDP Global's eCampus, please choose "CERTIFICATIONS" above instead.
How many companies are you ordering Replacement Manuals for? You may input a maximum of 5 different companies who had people trained previously and who want new/updated manuals. If you have people from more than 5 companies, you must complete multiple order forms.
Address- Company 1
Name of Company 1 In put the name of the company who had people trained.
Company 1- Name of each person, Approximate date of training, AND if it is a Professional or Mentor Certification
Name of Company 2 In put the name of the company who had people trained.
Address- Company 2
Company 2- Name of each person, Approximate date of training, AND if it is a Professional or Mentor Certification
Name of Company 3 In put the name of the company who had people trained.
Address- Company 3
Company 3- Name of each person, Approximate date of training, AND if it is a Professional or Mentor Certification
Name of Company 4 In put the name of the company who had people trained.
Address- Company 4
Company 4- Name of each person, Approximate date of training, AND if it is a Professional or Mentor Certification
Name of Company 5 In put the name of the company who had people trained.
Address- Company 5
Company 5- Name of each person, Approximate date of training, AND if it is a Professional or Mentor Certification
Research References Note: One (1) complementary Research Reference is automatically sent to each new client organization. Additional copies are $35 each.
Attention to (Research References):
First
Last
SHIP TO Address (Research References):
This address to ship the Research References to is a: Business Residence
SHIP TO Phone Number (Research References): Insert the phone number that is associated with the location to which the materials are to be sent.
PDP Client ID (Research Reference)
Research References How many do you want to purchase?
Marketing File Folders Each packet below has a quantity of 25 folders.
Attention to (Marketing File Folders):
First
Last
SHIP TO Address (Marketing File Folders):
This address to ship the Marketing File Folders is a: Business Residence
SHIP TO Phone Number (Marketing File Folders): Insert the phone number that is associated with the location to which the materials are to be sent.
Client's PDP ID # (Marketing File Folders):
Prospective Client Brochure Folder (infographic inside) How many packets of 25 are you going to purchase?
Proposal Folder (blank inside) How many packets of 25 are you going to purchase?
Prospective Rep Brochure Folder How many packets of 25 are you going to purchase?
Report Folders
ProScan Report Folder How many packets of 25 are you going to purchase?
JobScan Report Folder How many packets of 25 are you going to purchase?
TeamScan Report Folder How many packets of 25 are you going to purchase?
Your Logo Upload a high quality image of your Logo (i.e. as the Representative)
Speciality Logo Items Input the number of each you wish to purchase
Attention to (Speciality Logo Items):
First
Last
Organization Address (Speciality Logo Items):
This address to ship the Speciality Logo Items is a: Business Residence
SHIP TO Phone Number (Speciality Logo Items): Insert the phone number that is associated with the location to which the materials are to be sent.
PDP logo packs mug, mousepad, notepad, pen, highlighter
mouse pad w/windows Includes 4 PDP inserts
PDP mug
PDP notepad
PDP trait magnets for training Set of 6 (D, E, P, C, L & K)
PDP t-shirt - Your Pace or Mine?
PDP umbrella
PDP USB Drives
Other Materials Please input the number of each you wish to purchase
Attention to (Other Materials):
First
Last
SHIP TO Address (Other Materials):
This SHIP TO address to for "Other Materials" Items is a: Business Residence
SHIP TO Phone Number (Other Materials): Insert the phone number that is associated with the location to which the materials are to be sent.
Laminated Cards Communication Styles/Basic Performance Traits
Survey Forms ProScan Professional Form,--Executive friendly. (25-pack)
Name & Profile Tent Cards 25-packs
Operations Guides Representative Business Operations Guides
Living Legacy Books History of Bruce Hubby and PDP Global
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