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2025 Promotional Materials Requests
Thank you for your interest in the CLS Program and CLS Spark! Please complete the following form to request promotional materials for the upcoming year.
*
1.
Contact Information
(Required.)
First name
Last name
Email address
Phone number (Optional)
*
2.
Which of the following best describes you?
(Required.)
CLS Advisor
Interested faculty or staff member
Alumni ambassador
Other (please specify)
*
3.
Mailing Address for Materials
(Required.)
Name
*
Institution or company (if applicable)
Street address
*
Apartment, unit, or suite number (if applicable)
City/Town
*
State/Province
*
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
*
*
4.
Address Type
(Required.)
Campus (Personal)
Campus (Departmental)
Home
Other (please specify)
5.
Please select what size promotional package you'd like to request. Please refer to this
document
for a description of each package.
Small package (fliers and poster only)
Medium package (fliers, poster, and some additional promotional items)
Large package (fliers, poster, and all promotional items)