Equity Envisioned
Under Construction
Under Construction
Equity Envisioned
Educational solutions that empower
Intake Form
Name
*
First Name
Last Name
Organization/Institution
*
Institution/Organization Type:
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Doctorate-granting University
Master's College or University
Baccalaureate College
Associates College
Non-Profit Organization
Business
Briefly describe your institution/organization's mission:
Contact Information
Email Address
*
Phone
*
(###)
###
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Areas of Concern
Briefly describe your area(s) of concern:
*
In what ways do these challenges impact your community?
*
How do these challenges affect your ability to fulfill your mission?
*
What is your timeframe for building and implementing a solution?
*
Additional Information
Please feel free to share additional that may be relevant to our work:
Thank you for completing the intake form. We will be in touch soon to discuss next steps.