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Applicant Eligibility

Please provide proof of eligibility to partner with California State Dominguez Hills.  If you are a Disadvantaged Business Enterprise ((DBE) or Minority Business Enterprise (learn more), please upload proof of certification or complete the signed certification form.

If you are applying as a Community Based Organization (CBO), please upload the United States Internal Revenue Service (IRS) 501(c)(3) determination letter.

Upload File

If you are a Disadvantaged Business Enterprise (DBE) or Minority Business Enterprise (MBE), please upload proof of certification.

Upload File

OR

If you are a Disadvantaged Business Enterprise (DBE) or Minority Business Enterprise (MBE), please complete self-certification form.

About your Organization

What is the size of your organization?

Communities Served

My organization is a:
Are you familiar with Califonia's Digital Equity Plan?
Do you serve any of the 10 covered populations? (select all that apply)
What is the neighborhood composition of the area you serve?
Please provide employment data for the population you serve:

Social Impact

How will you partner with CSUDH to close the digital divide? (check all that apply)
What type of job opportunities would you offer to CSUDH interns? (multiple choice)
What type of equipment/support do you believe YOUR organization needs to support this partnership? This item is asking specifically about equipment to be provided to support your organization. (select all that apply)
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