First Name *

Last Name *

What's your G-number? *

Email *

What is your major? *
- Select Major Accounting Administration Administrator-Business Manager Administrator-Central Office Administrator-Elementary & Secondary Administrator-Elementary Principal Administrator-Secondary Principal Administrator-Superintendent Adult Nurse Practitioner Advanced Energy Advertising & Public Relations Allied Health Sciences Anthropology Applied Anthropology Applied Behavior Analysis Applied Linguistics Art and Design Art Education Art History Athletic Training Audiology Behavioral Neuroscience Behavioral Science Biochemistry Bioinformatics and Genomics Biology Biomedical Communication Biomedical Informatics Biomedical Sciences Biopsychology Biostatistics Biotechnology Broadcasting Business and Taxation Business Economics Business General Cardiovascular Sonography Cell & Molecular Biology Chemistry Chinese Studies Classical Tradition Classics Classroom Technology Clinical Dietetics Clinical Lab Science Clinical Research Trials Management Communication Science & Disorders Communication Studies Communications Computer Science & Arts for Teaching Computer Engineering Computer Information Systems Computer Science Criminal Justice Dance Data Science and Analytics Database Management Diagnostic Medical Sonography Distributed Computing E-Commerce Earth Science Economics Education Educational Leadership Educational Technology Integration Educational Technology Electrical Engineering Elementary Continuing Elementary Professional Elementary Provisional Engineering Engineering Science English English Language & Writing English Language and Literature Entrepreneurship Environmental Remote Sensing Environment Steward/Community Engagement Exercise Science Exploratory Study Facilities Management Family Nurse Practitioner Film and Video Finance French General Education General Management Geographic Info Science Technology Geographic Info Systems Technology Geography Geology Geology-Chemistry German Gerontological Nurse Practitioner Global Studies & Social Impact Graduate Tax Studies Greek Green Chemistry Group Science Group Science Geology Group Social Science Geography Group Social Sciences Group Social Studies Group Science Biology Group Science Chemistry Group Science Math Group Social Sciences Economics Group Social Sciences History Group Social Sciences Political Science Group Social Sciences Psychology Group Social Sciences Sociology Health Administration Health Communication Health Informatics Health Information Management Health Professions Health Science Higher Education History Honors College Hospitality Tourism Management Human Resources Human Resources Management Humanities Industrial Technology Information Systems Information Systems Management Information Technology Inquiry Teaching in Chemistry Inquiry Teaching in Science Instruction & Curriculum Integrated Science Integrated Science Elementary Integrated Science Secondary Intercultural Competence Experience Intercultural Training Interdisciplinary Entrepreneurship Interdisciplinary Engineering International Business International Relations International Teaching Experience Journalism Language Arts Language Arts Elementary Language Arts Secondary Latin Latino/a Studies Leadership Legal Studies Liberal Education & Professional Skills Liberal Studies Literacy Studies Management Manufacturing Engineering Control/Automatic Manufacturing Engineering Design Marketing Mathematics Mechanical Engineering Mechanical Engineering Design Medical & Bioinformatics Medical Dosimetry Medical Humanities Medical Imaging/Radiation Science Medical Laboratory Science Medical Technology Multimedia Journalism Music Natural Resources Management Non Degree Graduate Non Degree Undergraduate Nonprofit Leadership Nursing Nursing Administration Nursing Case Management Nursing/Business Object-Oriented Technology Occupational Safety/Health Management Occupational Therapy Online/Blended Instruction & Assess Operations Management Palliative and Hospice Care Paralegal Studies Pediatric Nurse Practitioner Philanthropy & Nonprofit Leadership Philosophy Photography Physical Education Physical Therapy Physician Assistant Studies Physics Piano Pedagogy Political Science Pre-Business Pre-Clinical Lab Science Pre-Computer Science Pre-Economics Pre-Engineering Pre-Health Pre-Health Science Pre-Information Systems Pre-Liberal Studies Pre-Medical Image/Radiation Science Pre-Medical Lab Science Pre-Nursing Pre-Physical Therapy Pre-Professional Preparation Product Design & Manufacturing Engineering Production Engineering Operations Professional Engineering Practice Psychology Public Administration Public and Nonprofit Administration Public Health Radiation Therapy Radiologic & Imaging Sciences Reading Real Estate Religious Studies Russian Studies School Counseling School Psychology Secondary Continuing Secondary Professional Secondary Provisional Social Innovation Social Work Sociology Software Design & Development Software Engineering Spanish Special Education Speech-Language Pathology Sport Coaching Sport Management Statistics Studio Art Supply Chain Management Sustainability Sustainable City & Regional Planning Sustainable Food Systems Sustainable Urban & Regional Planning Taxation Teacher Leader Technology Management Theatre Therapeutic Recreation Undeclared Women and Gender Studies Women's Health Nurse Practitioner Women, Gender & Sexuality Study Writing

Expected Graduation Date *
Month: - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day: - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: - 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Class Standing *
- Select Option Freshman Sophomore Junior Senior Graduate Student

Have you taken an Entrepreneurship class? *
- Select Option Yes No

Are you a member of the following student organizations? (Select all that apply.) *
CEO Club (Collegiate Entrepreneurs Organization)
WISE (Women who Innovate, Strengthen, and Educate)
None of the above

Have you owned a business or worked with a startup? *
- Select Option Yes No

Let us know what your funding needs are by selecting one of the following:

What do you need funding for? *
- Select Option Travel for a Pitch Competition Startup Business Grant

Tell us more about your Travel for a Pitch Competition.

Competition Name *

Insert a link to the competition website. *

Location *

Date of Travel *
Month: - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day: - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: - 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Date of Competition *
Month: - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day: - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: - 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Have you been accepted to compete? *
- Select Option Yes No Other Value for "Other" Have you been accepted to compete?

Upload a copy of your acceptance email? *
Please upload a file with the extension .doc, .pdf, .rtf, .docx, .pub, or .txt with a maximum size of 10 MB (10240 KB)

What is your travel budget? (Please be specific) *

Please provide a brief description of the business idea. *

Upload a copy of your Executive Summary, Business Plan, or Pitch Deck. *
Please upload a file with the extension .ppt, .doc, .pdf, .docx, or .pptx with a maximum size of 10 MB (10240 KB)

Business Name *

Is your business incorporated? *
- Select Option Yes No

If yes, what year? *
Month: - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day: - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: - 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

How old is your startup? *
- Select Option <1 1-2 years 2-3 years 3-4 years 4-5 years >5 years

Website name if available.

What progress have you made to date? What milestones have you accomplished? Tell us about developing the business, product, or service. (Please be specific) *
Please enter at most 500 words. You currently have:

Do you have any sales? *
- Select Option Yes No

If yes, how much? *

Have you previously received funding, grants, or investments? *
- Select Option Yes No

If yes, how much? *

What do you need funding for and how will it be used? (Please be specific) *

How much funding do you need? *

Upload detailed budget for funding request. *
Please upload a file with the extension .csv, .xls, .doc, .pdf, .docx, or .xlsx with a maximum size of 10 MB (10240 KB)