Apply to Elgin Technology Center

Elgin Technology Center Membership Application

Membership type Premier Standard

Name *

First name is required

Last name is required

Email * A valid email is required

Phone number * A valid phone number is required

Street Address * A street address is required

City * A city is required

State * A state selection is required

Zip * A valid zip code is required

Business name

Business or demo/prototype URL

How long have you been working on the company? Are you working on it full time? * This section is required

Please describe your business in three (3) sentences or less * This section is required

Tell us about your journey as an entrepreneur and why you are passionate about your business * This section is required

Tell us about the technologies used to build your business * This section is required

How can you give back to this collaborative community (mentorship, workshops, trainings, skills, etc)?

Referral code