Host a Pop-Up Clinic
If you are interested in hosting a Gadget Garage Pop-Up Clinic, please fill out the following information:
Sign in to Google to save your progress. Learn more
Name of Organization: *
Email: *
Phone Number: *
Name of contact person *
Contact's Email:
Contact's Phone Number:
Preferential Date and Time for the Clinic: E.g. 'within the month', 'Tuesdays from 2-5', 'Evenings', or 'No Preference.'
Do you have space available for a Pop-Up Clinic? What, if any, are the specifications?
What can we do for you? Are you interested in a workshop or troubleshooting session?
How did you hear about the Illini Gadget Garage?
Clear selection
Thank you for your interest in the Illini Gadget Garage! We look forward to working with you and will be in touch to finalize details and scheduling.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy