Coleridge Initiative Interest Form
Thank you for your interest in The Coleridge Initiative. Please provide us with the requested information below and one of our team members will be in touch with you regarding our no cost service offerings.
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1.
Your full name:
(Required.)
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2.
Your email address:
(Required.)
3.
Your primary organizational affiliation:
4.
Which of the following best classifies your primary organizational affiliation?
Federal governemnt
State government
Other government
Academic / university
Nonprofit
Other (please specify)
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5.
Which opportunity are you interested in exploring? (select all that apply)
(Required.)
Applied Data Analytics Training
Administrative Data Research Facility (ADRF)
Other (please specify)