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* 1. First name

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* 2. Last name

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* 3. Email address

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* 4. Who are your team members?

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* 5. I am a

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* 6. What school are you in at Duke?

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* 7. What is the name of your venture?

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* 8. In 3-5 sentences, what specific problem are you trying to solve?

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* 9. Venture description/mission

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* 10. Please list and describe your specific results to date

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* 11. What are your goals for the upcoming year? What are your goals for the future?

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* 12. Please include a link to your website or any social media if applicable.

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