HB Application - Mountain Connect

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Total Score

Please enter a number from 1 to 100.

Name(Required)

First Last

Title(Required)

Company Name(Required)

Company Website(Required)

Work Email(Required)

Work or Mobile Phone(Required)

Company Headquarter Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ISP Type(Required)

Approximate Number of Employees(Required)

Buying Authority & Role

Your Role in Vendor Selection(Required)

I am the final decision-maker

I am a budget holder & recommend vendors

I influence vendor Selection

Departments You Support in Purchasing(Required)

Network Engineering

Construction Deployment

Operations

IT/Cybersecurity

Customer Experience/Support

Finance

Executive Leadership

Active Build & Timeline

Do You Have an Active Network Build or Expansion Project(Required)

Yes

Do You Anticipate Starting One Within the Next 6 Months?(Required)

Yes

Expected Purchasing Timeline for Relevant Solutions(Required)

0-3 Months

3-6 Months

6-12 Months

More than 12 months

Estimated Scale of Current or Planned Build(Required)

Deployment Type(s) Planned(Required)

Funding & Budget Readiness

Primary Funding Source(s)(Required)

Private Capital

Federal / State Grants

Municipal / Cooperative Funding

Private Equity

Other (please specify)

Is Budget Secured for this Project Over the Next 6 Months?(Required)

Yes, fully secured

In process (awaiting approval)

Not yet secured

Solution Categories of Interest

Solutions You're Looking to Evaluate at the Event(Required)

Fiber construction & deployment service

Materials & infrastructure (cabinets, enclosures, etc.)

Network equipment (optical, routing, switching, wireless)

OSS / BSS / billing systems

Field operations / workforce management software

Design & engineering services

Financing / grants / capital advisory

Cybersecurity solutions

Customer premise equipment (CPE)

Customer experience / analytics tools

Project Context (Short-Answer)

Briefly Describe Your Current or Planned Network Project(s)(Required)

Include geography, type of build, and any specific objectives.

What Are the Top 2-3 Challenges You are Trying to Solve with Vendors?(Required)

For example: permitting delays, make-ready issues, supply chain, cost per passing, operations tools, subscriber growth, etc.

Are you currently evaluating vendors in ANY of these categories(Required)

Yes

If Yes: Which Categories and how far along are you?

Eligibility Confirmations

Eligibility & Program Commitment(Required)

I confirm I am employed by an Internet Service Provider

I confirm I have purchasing authority or direct influence over vendor selection

I understand that if accepted, I will be asked to participate in a set number of pre-scheduled meetings with solutions providers

I understand that all meetings are subject to my approval, and I may decline meetings that are not relevant

I understand that this application does not guarantee acceptance to the Hosted Buyer Program

All check boxes below must be selected in order to be considered for this Program.

Hosted Buyer Application