ACENet Site Interest Form

1.Organization Name/ Site Location:(Required.)
2.Organization Address:(Required.)
3.Primary Point of Contact Name:(Required.)
4.Primary Point of Contact Role:(Required.)
5.Primary Point of Contact Phone Number:(Required.)
6.Primary Point of Contact Email:(Required.)
7.What ACENet Program(s) are you interested in?(Required.)
8.Do you have a Classroom and a Lab Space to host bootcamps and house equipment?(Required.)
9.Do you have administrative staff to support the ACENet Program at your site?(Required.)
10.Do you have faculty members who will provide instruction during the Bootcamps?(Required.)
11.Participation/Bootcamp Description. Example: A minimum of 6 bootcamps per year with 10 participants per camp, serving 60-100 annually(Required.)
12.What is the current inventory of equipment that will be used to support the program (Industrial CNC mills, 3D printers, etc.)?(Required.)
13.Please list 3 to 5 manufacturing employers in your region who may be interested in hiring students who complete the ACE program.(Required.)
14.Optional Potential benefits to the U.S. Department of Defense Industrial Base Analysis and Sustainment Program and Industry: