Ctrl Shift Partner Form
Section 1: Organization Info
Organization/School Name
*
Web Site
Representative Name
*
Representative Role/Title
*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Section 2 Partnership
What type of partnership are you looking to establish?
Venue Partner (Currently seeking venues in Little Village and Archer Heights)
Technology Partner (donate laptops, connectivity, tech expertise)
Future SaterlliteProgram Interest (be considred for future Ctrl Shift expansion)
Other
If Venue, please note details here.
If Technology, please note details here.
If Future Partner, please note details here.
I agree that Ctrl Shift may contact me to discuss this potential partnerships.
Yes
Submit
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