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Sponsor Application

Please provide the following information:

Name:

Position:

Organization:

Description of Requesting Organization (e.g. Corporation, Corporate Foundation, Corporate Community Development Division etc.):

Address:

Address Line 2:    
City:  
State:  
Zip:     
Phone:   
Fax:     
Email:
We Need Training for:  

Number of Students

Number of Teachers
Number of Staff
How did you hear about us?
Which schools/school districts in what states are you interested in sponsoring?
Describe your target Population.What % are disadvantaged?
How much funds you need for this sponsorship program?
(= the number of sponsored students from the above line x $30 per student)
How important are IT skills for your organizations success?
Course packages of Interest:
How Soon would You like to get Started            
Other (Specify):  
Yes, we have the funds for this sponsorship program described above.
Note:To see Course details, click here: Course Catalog


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