Project Request Form

Project Request Form

Projects will be done by student teams during the Fall semester.  (August - December)

 

2017 Project Request Form
Company:
First Name
required
Last Name
required
Address 1:
required
City:
required
State:
required
Zip:
required
Email
Business Phone
Cell Phone
Type of Company:
Project Information
Project Overview:
required
Target Audience:
Do you have a strict deadline on this project?

required
If yes, then what is that date?
  
Project Objectives: For each numeral below, list an objective of your project.  For each letter below, please list services required for that objective.
1.
a.
b.
c.
2.
a.
b.
c.
3.
a.
b.
c.
Project Timeline
Please provide any additional comments needed for this request:
Were you referred to us by Northland CAPS staff?

required
If yes, please select whom: