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:
Name of Dean:
Contact Person
Title
Email
Phone
College/University Website
College/University Address:
City: State: ALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY
Zip:
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