Host Company Interest Form

1
Tell us about yourself.* This field is required.
First name
Last name
Please enter your email
2
Please share your company URL.* This field is required.
3
Do you have an office in the United States?* This field is required.Currently, we only facilitate bootcamps in the United States.
YESNO
4
Where is your company located?* This field is required.City, State, Country
5
Does your company have at least 50 employees?* This field is required.Due to the logistical demands of planning an AI Bootcamp, host companies must have at least 50 full-time employees.
YESNO
6
Do you have at least 16-20 technically savvy employees that would be willing to volunteer to mentor AI Bootcamp students?* This field is required.Each AI Bootcamp location will need to provide its own volunteer mentors.
YESNO
7
Is your company willing to make a $6,000 contribution to the Mark Cuban Foundation AI Bootcamp Program?* This field is required.
YESNO
8
Is there anything else we should know about you and your com
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Large
Normal
Small
Ok
Ok
Should be Empty: