Application: Corprenect Northrop Grumman Cohort
Please fill out the form below to apply for the Corprenect Northrop Grumman Cohort. Applications are due by 5 p.m. on June 15. Please note that since this form is accepting file uploads, it requires a Google login. If this is prohibitive to you applying, please contact mtech@umd.edu for options.
Company Name *
Company Address *
Company Website Address (URL) *
Country of Company Ownership *
Place of Company Registration *
Main Point of Contact First Name *
Main Point of Contact Last Name *
Main Point of Contact Address *
Main Point of Contact Phone Number *
Main Point of Contact Email Address *
By checking the box below, I verify that all personnel participating in the Northrop Grumman cohort are U.S. citizens *
Required
Please provide a one-paragraph description of your technology applicable to the Northrop Grumman cohort *
Upload files relevant to your application, such as white papers, technology summaries, brochures, etc. (optional)
I am available to participate in the cohort on the planned dates (listed at http://corprenect.umd.edu/corprenect-northrop-grumman-cohort.html) *
I understand and accept that I will have to sign a two-way non-disclosure agreement with Northrop Grumman *
Required
Administrative Point of Contact First Name (leave blank if same as main point of contact)
Administrative Point of Contact Last Name (leave blank if same as main point of contact)
Administrative Point of Contact Address (leave blank if same as main point of contact)
Administrative Point of Contact Phone Number (leave blank if same as main point of contact)
Administrative Point of Contact Email Address (leave blank if same as main point of contact)
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