CCI Cybersecurity Initiative — Client Application Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CCI Cybersecurity Initiative — Client Application Form — Spring 2024

Thank you for your interest in participating in our cybersecurity outreach initiative and partnering with the College of Computing and Informatics. Please fill out the form below to submit your application and a member of our team will be in touch.

-- Dr. Bill Chu, Vinicius Da Costa, and Dr. Cori Faklaris

Name of organization: *

Name of individual applicant/main client point of contact: *

Title of individual applicant/main client point of contact: *

Email address of individual applicant/main client point of contact:
*

Contact phone number of individual applicant/main client point of contact: *

Type of organization: *

Non-profit organization

For-profit business

Government entity

Please briefly explain why you are applying to partner with us — what does your organization hope to achieve through a potential partnership? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of UNC Charlotte.

Does this form look suspicious? Report

Forms