Client Application Form

ILC Client Application

Ensure working with Innovative Learning Center is right for you by completing our simple application. This will assist our team in providing the right tools and resources for your program’s needs. We look forward to talking soon.

Full Name *

First

Last

Email Address *

Company / Organization Name

Program Name

Please list the names of programs that you are requesting services.

How long has/ have the program(s) been operating?

What service(s) are you interested in?

What is your evaluation/ assessment/ data analysis budget?

Have you worked with your Institutional Review Board (IRB)?

Which organization is providing IRB approval?

Are you aware of your organization's policies for selecting and onboarding vendors?

Do you know what additional approvals you need to secure Sole Source vendors?

Please summarize all important details (by project if more than one) such as key milestones, important dates, or time constraints you’d like to share. Populate this section with content from your Project Summary if it is written.