THINK Center Co-Working Application

First Name

Last Name

Email

Phone

Address Line 1

Address Line 2

City

Organization

Company Website or LinkedIn Profile:

Are you a student?

Are you inquiring as a business?

If yes, what is the current stage of your business?

Idea Phase Other Pre-Launch Phase Launch Phase Expansion Phase Maturity Phase

Briefly describe your business:

Projected co-working start date:

How many hours per week do you anticipate using Wilkes-Barre's THINK Center?