Entrepreneurs Institute - Interest Form

Interest Form for Entrepreneurs Institute

Thank you for your interest in the Entrepreneurs Institute . The information collected here will be used solely to contact you to provide additional course related information.

If you have any questions please contact Professor Steve Mersereau, smersereau@norwalk.edu

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* 1. Please provide the following information

First Name

Last Name

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone

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* 2. How did you hear about the program

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* 3. Please write a brief paragraph telling us why are you interested in the institute and what type of business or service you are interested in starting?

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* 4. Are you a currently enrolled at NCC?

Yes