Service Provider Membership Application

Thank you for your interest in joining StateRAMP!

This application is intended for service providers.

Applicant Information

Please complete the application below. This information will be used to process your organization's membership application. Once the application has been reviewed, you will be directed to the membership payment portal.

First name*

Last name*

Job Title*

Phone number*

Email*

Business Information

Company name*

Please select your industry type (i.e., are you an employee of a state or local government or are you a service provider offering IaaS, SaaS, or PaaS solutions).*

Does your organization provide security assessment consulting services or are you a service provider offering IaaS, PaaS, or SaaS products to governments?

Security assessment consulting services

Technology solutions for government

Product Name

What is your product(s) service model? Check all that apply.

Software as a Service (SaaS)

Platform as a Service (PaaS)

Infrastructure as a Service (IaaS)

Unknown

What is your product(s) deployment model? Check all that apply.*

Government Community Cloud

Hybrid Cloud

Private Cloud

Public Cloud

Other or Unknown

According to the StateRAMP Data Classification Tool, what is the appropriate security category for your product(s)? Check all that apply.*

Low

High

Moderate

Unknown

Has your product(s) received prior authorization(s) from FedRAMP?

Yes

Unknown

Please provide a brief description of your current StateRAMP readiness.

Primary Point of Contact

In this section, please provide the contact information for the individual in your organization who is the primary point of contact for StateRAMP. This individual will be listed on your organization's Member Directory listing.

Primary Point of Contact (PoC) First Name*

Last Name*

Primary PoC Job Title*

e.g. Chief Information Security Officer

Primary PoC Email Address*

Primary PoC Phone Number*

Full phone number (e.g. 555-555-5555)