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?	Very Important Important Doesn't Matter
Course packages of Interest:	01) Math K-5 02) Math 6-8 03) IC3 04) Office Computing Package 05) IT Professional Package 06) Web Development Package 07) Microsoft MCSE Package 10) Business Skill Package 11) Home and Small Business 11) Business Skills Video 12) SAT 13) ACT 14) TOEFL 15) GRE 16) GMAT
How Soon would You like to get Started	Immediately One Month Two Months Three Months Other             Other (Specify):
Yes, we have the funds for this sponsorship program described above.