[DSI] Program Request Form
Thank you for your interest in starting a DSI program near you. DSI relies on individuals like you to help spread the mission of bringing data science education to everyone!
Email address *
First Name *
Your answer
Last Name *
Your answer
Where are you from? *
Your answer
Phone Number *
Your answer
Which of the following best describe(s) you? *
Required
How did you hear about Data Science for India?
City *
In which city would you like DSI to start a new program?
Your answer
Location *
At what particular location (ex: school, college campus, community center) in this city would you like DSI to start a new program? If you do not have a particular location in mind, please enter "N/A"
Your answer
Which DSI Program(s) are you interested in initiating in this city at this location? *
Required
Why would you like DSI to start a new program at this city/location? *
ex: "I am a parent of a student in _____ and would like her to have the opportunity to study data science." OR "I am a principal at _____ and would like to partner with DSI to offer data science education as an after-school program at my school."
Your answer
Please list any contacts that you have at the requested location. *
[Contact Name / Relationship to Contact / Contact Email Address or Phone Number]
Your answer
Additional Comments
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