Community Partnership Opportunity Inquiry

Brock encourages all types of connections, whether through small or large partnerships, with the University. Please fill out the form below to discuss your community partnership opportunity.

Name * Required
First Last
Organization * Required
Address * Required
Street Address City Province Postal code Country
Email * Required
Phone * Required
Website
Where do you see your organization going?
What challenges are you currently experiencing?
Have you worked with Brock previously? * Required
- Yes
- No
If so, please provide the details of all partnerships:
Name
This field is for validation purposes and should be left unchanged.

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