TiECON SE 2013 Awards - Student Entrepreneur of the Year

"Student Entrepreneur of the Year" - Nomination Form

Companies must be located as a primary place of business in Georgia, Florida, South Carolina or North Carolina. All companies and products are eligible for consideration based on their business accomplishments made during calendar 2012. Companies may be nominated for multiple award categories, and companies may win multiple awards. There are no fees to nominate companies for consideration. TiE Membership/Sponsorship is not a criterion for selection.

Candidates for the Student Entrepreneur of the Year award must meet the following specific criteria:
- Open in Students of all ages.
- Must have a company formed.

- The deadline for all nominations is April 10, 2013
- Attendance at the conference is encouraged. The awards portion of the TiECON Southeast 2013 Conference will be held from 4:00 p.m. - 6:00 p.m. at the Renaissance Atlanta Waverly Hotel.
- All information will remain confidential to the judging team. If you have any questions, please contact admin@tie-atlanta.org.

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* Nominee information:

Name: *

Company:

Title: *

Email Address: *

Phone Number: *

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* Nominator information (if different than nominee)

Name:

Phone Number:

E-mail Address:

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* Your affiliation with the nominee:

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* During the timeframe listed above were you a full-time or part-time student and what is the name of your school?

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* Are you employed full-time or part-time by an outside company? (list company and number of hours per/week)

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* What is your innovative idea? (<less than 150 words)

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* What is your 3-5 year vision?

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* What are your top three achievements to date? (<less than 200 words)

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* What has been your top two obstacles? (<less than 200 words)

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* Are you the recipient of any special grants any type of external funding. Are you participating in any special programs to assist you? (Please state "yes" or "no" if "yes" please give details)

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* If yes, to the question above, who assisted you with the process? (i.e. community leader, family member(s), friends, mentor, teacher, other - list all that apply and how they were influencial.

TiECON SE 2013 Awards - Student Entrepreneur of the Year

"Student Entrepreneur of the Year" - Nomination Form

Question Title

* Nominee information:

Question Title

* Nominator information (if different than nominee)

Question Title

* Your affiliation with the nominee:

Question Title

* During the timeframe listed above were you a full-time or part-time student and what is the name of your school?

Question Title

* Are you employed full-time or part-time by an outside company? (list company and number of hours per/week)

Question Title

* What is your innovative idea? (<less than 150 words)

Question Title

* What is your 3-5 year vision?

Question Title

* What are your top three achievements to date? (<less than 200 words)

Question Title

* What has been your top two obstacles? (<less than 200 words)

Question Title

* Are you the recipient of any special grants any type of external funding. Are you participating in any special programs to assist you? (Please state "yes" or "no" if "yes" please give details)

Question Title

* If yes, to the question above, who assisted you with the process? (i.e. community leader, family member(s), friends, mentor, teacher, other - list all that apply and how they were influencial.

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* Please share additional information you believe it would be beneficial for the judges to know. (<less than 200 words)

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* I AGREE TO BE PRESENT FOR THE AWARDS ON SATURDAY, APRIL 27, 2013

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* I CERTIFY THAT ALL INFORMATION IS CORRECT