Mobile Application License Application
Apply for a license to distribute your mobile application. Please complete all required fields to process your application.
Applicant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization Name (if applicable)
Mobile Application Name
*
Brief Description of the Application
*
Application Platform(s)
*
iOS
Android
Other
Application Category
*
Please Select
Productivity
Education
Entertainment
Health & Fitness
Lifestyle
Business
Other
Intended Audience
*
Please Select
General Public
Children (under 13)
Teens
Adults
Other
Upload Application Documentation (e.g., screenshots, technical documents, privacy policy)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Does your application comply with all relevant app store and data privacy guidelines?
*
Yes
No
Additional Comments or Information
Applicant Signature
*
Submit Application
Submit Application
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