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K-12 Alliance Inquiry Form

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Please fill out the form below to apply for K-12 Alliance membership. Detailed information is available on the K-12 Alliance page.

Organization Name *

Brief Organization Description *

Organization URL

Are you joining the K-12 Alliance in order to become an AspireIT Program Partner? *

Yes

No

Is your organization a registered 501c(3)? *

Yes

No

Is your organization local only or nationally serving? *

Local Only

Nationally Serving

Your Name *

Your Prefix (Chancellor, Dr., Mr., Mrs., Ms., Mx., Professor)

Your Title *

Your email address *

Your Street Address 1 *

Your Street Address 2

City *

State *

Zip *

Phone *

How did you hear about us?

Search Engine

Online Publication

Printed Materials

Referral

Other

Referral/Other Details

Please enter details if you chose Referral or Other above.

What is your interest in NCWIT's K-12 Alliance? *

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