Please complete this form to start the vetting process for our education alliance.
Name of College/University:
Accredited By:
Number of Undergraduate Students:
Number of Graduate Students (if applicable):
State of Incorporation:
County with Legal Jurisdiction:
Name of Provost:
Desired Programming: Weekend SeminarCertificate ProgramContinuing Education CreditsTechnical TrainingUndergraduate Degree CompletionGraduate Degree Completion
Ideal Academic Department:
Academic Discipline:
Contact Person
Title
Email
Phone
College/University Website
College/University Address: City: State: ALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY Zip:
