AIAB Data Project Form

Company Name*

Name of Main Company Contact*

First Last

Main Contact Job Title*

Main Contact Email*

Main Contact Phone*

Are you a Wharton or Penn Alumni?

If yes, provide alumni year and affiliation (i.e. WG'15).

Location of Company Headquarters*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

One-sentence Company Description/Business Model*

Industry*

Number of Years in Operation*

Summary of Data Infrastructure (if applicable)*

Summary of Current Data Assets (if applicable)*

Describe the business problem(s) you would like WCA to help solve:*

CAPTCHA