Global Assistance Program | Institute for Global Enterprise in Indiana

*Company Name

*Company Address

*Company Telephone

Company Web Address

*Nature of Business

*Number of Employees

*Project Champion Name

*Project Champion Telephone

*Project Champion E-mail Address

*Brief Description of Proposed Project

*Preferred Semester

Semester Year

*Can this project be completed in approximately one semester?

*Is this project globally focused?

Explain Global Focus

*Non-Disclosure Agreement required?

Explain Non-Disclosure

*Name of Person Completing Form

*Telephone Number of Person Completing Form

*E-mail Address of Person Completing Form