Entrepreneurship 101 Scholarship Survey

Thank you for your interest in Entrepreneurship 101. We are happy to be able to make this program as accessible as possible, to as many participants as possible. Therefore, we are offering a discount based on where you reside as well as tuition assistance for attendance in classes and follow-up sessions.

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* 1. Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Briefly describe your small business/the idea you have for a business.

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* 3. Attendance is extremely important in this program, and we require scholarship participants to attend every session. Please affirm that you understand this requirement, and that you will be able attend every session, each for the full three hours.

I affirm that I have no schedule conflicts, and, if granted this scholarship, will attend every session in its entirety.

I have some scheduling concerns. (Please explain below)

Other (please specify)

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* 4. Tuition assistance will also be contingent on scheduling follow-up sessions with the instructor to further my business idea.

I will schedule 3 follow-up sessions with my instructor to recieve ongoing mentoring.

I will not be able to meet with my instructor after the conclusion of the class.

Thank you for applying for a scholarship to our program. We will get back to you soon to let you know if we are able to provide tuition assistance, and how to proceed with the registration process.