TiE Atlanta: 2017 Entrepreneurship Competition for University Students Nomination Form

Nomination Form

Information and submission of the Nomination Form must be received between 10/1/2016 and 12/14/2016. If you submit the form prior to 12/14/2016, you still have until the deadline to update and resubmit your nomination form.

Click here for the second phase of the process, which is the Q7 Concept Form, due 1/20/2017.

You also have the option of filling out both required forms manually and submitting them to TYEUniversity@TiE-Atlanta.org.

Click here to download the Nomination Form.
Click here to download the Q7 Concept Form.

*Upon receipt, a confirmation email will be sent to both the Team Captain and Faculty Advisor by next business day.

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* 1. Provide your first name, last name and email address.

First Name

Last Name

Email Address

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* 2. NAME OF UNIVERSITY

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* 3. COLLEGE WITHIN UNIVERSITY (if applicable)

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* 4. TEAM NAME (if decided)

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* 5. In the following questions, provide the requested information for each team member. If the information doesn't pertain to your team, please respond with NA.

Faculty Advisor:

First Name

Last Name

Email Address

Phone/Cell Number

Question Title

* 6. Provide the requested information for team captain. If the information doesn't pertain to your team, please respond with NA.

Team Captain:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

Question Title

* 7. Provide the requested information for team Member #2. If the information doesn't pertain to your team, please respond with NA.

Team Member #2:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

Question Title

* 8. Provide the requested information for team Member #3. If the information doesn't pertain to your team, please respond with NA.

Team Member #3:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

Question Title

* 9. Provide the requested information for team Member #4. If the information doesn't pertain to your team, please respond with NA.

Team Member #4:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

Question Title

* 10. Provide the requested information for team Member #5. If the information doesn't pertain to your team, please respond with NA.

Team Member #5:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

Question Title

* 11. Provide the requested information for team Member #6. If the information doesn't pertain to your team, please respond with NA.

Team Member #6:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

Question Title

* 12. Provide the requested information for team Member #7. If the information doesn't pertain to your team, please respond with NA.

Team Member #7:

First Name

Last Name

Student yes/no and last enrolled date

Email Address

Phone/Cell Number

TiE Atlanta: 2017 Entrepreneurship Competition for University Students Nomination Form

Question Title

* 1. Provide your first name, last name and email address.

Question Title

* 2. NAME OF UNIVERSITY

Question Title

* 3. COLLEGE WITHIN UNIVERSITY (if applicable)

Question Title

* 4. TEAM NAME (if decided)

Question Title

* 5. In the following questions, provide the requested information for each team member. If the information doesn't pertain to your team, please respond with NA.

Question Title

* 6. Provide the requested information for team captain. If the information doesn't pertain to your team, please respond with NA.

Question Title

* 7. Provide the requested information for team Member #2. If the information doesn't pertain to your team, please respond with NA.

Question Title

* 8. Provide the requested information for team Member #3. If the information doesn't pertain to your team, please respond with NA.

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* 9. Provide the requested information for team Member #4. If the information doesn't pertain to your team, please respond with NA.

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* 10. Provide the requested information for team Member #5. If the information doesn't pertain to your team, please respond with NA.

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* 11. Provide the requested information for team Member #6. If the information doesn't pertain to your team, please respond with NA.

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* 12. Provide the requested information for team Member #7. If the information doesn't pertain to your team, please respond with NA.

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* 13. Any additional information, comments, assistance needed (if any), etc.

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* 14. Faculty Advisor Signature / Initials

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* 15. Team Captain Signature / Initials