Strategic Partner Registration Form
Organization interested in becoming a Strategic Partner and supporting Diversity Cyber Council’s Mission must first complete the initial Strategic Partner Application Form. The completion of the form is not a formal contract and serves only as a submission of interest to become a Strategic Partner. The Organization’s Point of Contact will receive instructions on next steps within 2-3 business days of submitting the form. For more information or questions feel free to email support@diversitycybercouncil.com.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email Address
*
Company Name
*
Position Title
*
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Strategic Partner Registration Form
Company Webpage
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Strategic Partner Registration Form
Would you like the opportunity to interview our entry level technology graduates for hiring opportunities?
*
Please Select
Yes
No, not at this time
Would you like to establish a mentor program with Diversity Cyber Council?
*
Please Select
Yes
No
Would you like to establish a pipeline to Diversity Cyber Council Training Programs for your clients?
*
Please Select
Yes
No
Would you like to make a financial contribution to sponsor a scholarship to a Diversity Cyber Council Training Program?
*
Please Select
No, not at this time
Yes - 1 Training Seat (5,000 USD)
Yes - 2 Training Seats (10,000 USD)
Yes - 3 Training Seats (15,000 USD)
Yes - 4 Training Seats (20,000 USD)
Would you a member of our team to reach you via email to coordinate a meeting?
*
Please Select
Yes
No, not at this time
Submit
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