Appointment Information

First Name

Last Name

Street Address

City

State

Zip Code

Mobile Phone Number

Preferred Method of Contact

Age Range

Gender

Ethnicity

Are you currently a student?

Are you a veteran?

Nearest 100K Ideas

Idea Category

Idea Name

Brief Description of Your Idea

Please describe any accommodations that may be helpful while working with 100K Ideas

Preferred location for appointment

Indicate one or more PREFERRED appointment date(s) & time(s) (currently; plan for around 5-6 business days after form is submitted)

APPOINTMENT HOURS:

Dryden Building (or Virtual Appointments):
Monday, Friday: 9:00am - 4:00pm
Saturday 10am - 3pm

LatinX Development & Technology Center:
Tuesday: 2:00pm - 4:00pm

Flint Development Center:
Wednesday: 2:00pm-4:00pm

Berston Field House:
Thursday: 9:00am-12:00pm