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Industry Night Application - Interest

Interested in hosting an Industry Night event?
Please provide the name of the college you represent. Special characters (&, #, *, @, etc.) are not accepted.
Please type your first name. Special characters (&, #, *, @, etc.) are not accepted.
Please type your last name. Special characters (&, #, *, @, etc.) are not accepted.
Please type your street address. Special characters (&, #, *, @, etc.) are not accepted.
Please type the City State and zip code of the college or organization. Special characters (&, #, *, @, etc.) are not accepted.
Please provide a phone number. Special characters (&, #, *, @, etc.) are not accepted.
Invalid email address.
Invalid Event name. Special characters (&, #, *, @, etc.) are not accepted.

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Invalid Input. Special characters (&, #, *, @, etc.) are not accepted.
Please provide a general date range for your event. Special characters (&, #, *, @, etc.) are not accepted. -,.()
Please provide an estimated amount of funding needed. Numbers only. Special characters (&, #, *, @, etc.) are not accepted.
Please indicate how the funds will be used. Special characters (&, #, *, @, etc.) are not accepted.
Invalid Input