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Alumni Payment Form

Technology Equitable Access Funds Request Form

Instructions
  • Required Questions: Several questions are required to proceed through the form.  Please answer all questions openly and honestly.  There are no right or wrong answers.  Your responses will remain confidential, and your name will not be associated with your responses on any materials without your permission.
  • Pre-Loaded Information: Whenever possible, we have pre-loaded information into the forms to help limit completion time and prevent survey fatigue.
  • Save and Continue: This is a “Save and Continue” form, meaning that each time you press the “Next” button, your responses will be saved.  You can use the campaign link and your email address to access your questions.
  • Submitting Your Form/Survey: There is a “Next” button on this navigation page.  After you press this button, you will be able to review your responses for all sections. You will also be unable to return to your outreach campaign response.  Please be sure you have completed all desired components before reviewing your responses and submitting your campaign response. A confirmation email will follow. 
  • Support: If you have any questions as you are filling out the survey, please email MWFAlumni@irex.org
This question requires a valid email address.