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* 1. First Name

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* 2. Last Name

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* 3. Phone Number

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* 4. Preferred Email

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* 5. University

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* 6. Faculty Advisor Name

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* 7. Program

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* 8. Year

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* 9. Please provide the link to your LinkedIn account here.

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* 10. How did you hear about IDEAcorps?

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* 11. What unique skills and/or experiences do you bring to the table that will help you cultivate a team and help them deliver exceptional value for an entrepreneur? Why are you the right person to represent your institution?

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* 12. Have you talked to others about joining your team and/or worked with your advisor to recruit team members? If so, please provide their name, email address and a reason why they would be a good fit. (If you have not started assembling a team, describe your strategy for motivating others to join you.)

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* 13. When are you available for a phone interview with the organizing team? (Select all that apply.)

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