Scholarship Request Form

Name of District (That will receive assessment) (required)

Applicant Name (required)

Applicant Email (required)

Main Contact - District (if different from applicant)

Main Contact Phone Number - District

Main Contact Email - District

IT Contact Name and Email (if applicable)

Do you have property and liability coverage with the CSD Pool? (required)

Yes

Why would a cyber assessment scholarship benefit your district? (required)

Do you have a dedicated IT department or IT personnel? If so, how many employees are in the department? (required)

Has your district ever undergone a cybersecurity assessment, network scan or audit via a third- or first-party? If so, when did that occur? (required)

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