Entrepreneur 1.0 2018 Student Application Form

To receive the student rate for "Entrepreneur 1.0: The Ultimate Business Boot Camp", you must be a full time post-secondary student and complete this application form. Deadline for applications is Thursday, September 27, 2018.

For additional information, please contact Sarah Edmundson at sarah.edmundson@techalliance.ca or 519.858.5146.

1. Please provide your contact and company information:

First Name: *This question is required.

Last Name: *This question is required.

Degree/Diploma Program: *This question is required.

Student number: *This question is required.

Post-secondary institution: *This question is required.

Name of business (or proposed business): *This question is required.

Year your company was established (if applicable):

Email address: *This question is required.

Phone number: *This question is required.

Company website:

2. What stage of growth is your business currently in? *This question is required.

3. Briefly explain your business model or idea: *This question is required.

4. Briefly explain the technology component of your business or idea: *This question is required.

5. Please describe why you would like to take this course and how it will benefit your current or planned venture: *This question is required.

6. Have you established or do you plan to establish your business in London or the surrounding area? *This question is required.