Application Form

StartUpUMW Application

"*" indicates required fields

1. Today's Date*

MM slash DD slash YYYY

2. Name*

First Last

3. Phone*

4. Email*

5. Hometown*

6. Major*

7. Germanna student, or UMW student?*

8. Sophomore, junior or senior?*

9. How did you hear about the program?*

10. Why are you interested in participating in the program?*

11. Do you currently operate a business or have a business idea?*

12. What is your current business? Or, what is your business idea?

13. Do you have business management experience or relevant work experience?

14. Do you plan to work on your business idea with a fellow UMW or Germanna student throughout the semester? If so, who?

15. What is/are your professional goal(s) after college graduation?*

*

If accepted into this program, I understand that I must attend all weekly meetings with the exception of extraordinary circumstances or sickness.

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