Questions:

• What is your relationship with the target community? Select Member Business Stakeholder Other None
• What services or products do you provide?
• What is the estimated population size of the market or base? Select Less than 5000 5000-25,000 More than 25K Unknown
• What is the geographic market or service area? Select Community City County Other
• How many locations do you have?
• Are you a nonprofit or non-government organization?
  Yes
  NO
  N/A
• What motivated you to be a broadband sponsor or champion?
  Business
  Stakeholder
  Other
• What are your technology goals for the project? Select Broadband Access Tech Migration Enhancement
• Do you have a desired technology outcome/goal?
  Yes
  No
  N/A
• What are/were the barriers to attaining the technology goals? Select Funding Availability Other
• Have you received quotes from other providers?
  Yes
  No
  N/A
• What is the approval interval or timeline? Select Less than 60 days 60-90 days More than 90 days
• How did you hear about the program(s)? Select Associate Media Other
• Will this impact public relations or community goodwill?
  Yes
  No
  N/A
• Who will sign the Sponsor MOU or the Champion LOI?
• Who will sign the provider contract for the broadband circuit?