Application Form

Company Name (required)

Full Name (required)

Your Email (required)

Are you at least 18? (required)
YesNo

List your degrees and majors for all degrees that apply

What does your business do, what customers will you serve and why are you in business?

Why do you want to be in business for yourself?

Has your business received any investment from people besides you or family members?
YesNo

The total cost for the program is $500, but we are offering a number of scholarships which would partially or fully cover the cost. Please choose one:
There are probably other people who need a scholarship more than I doGetting a full scholarship would really take a strain offGetting a partial scholarship would make it a lot easier for me to attend

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