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Application for Melissa & Doug Entrepreneurs at Duke University
Please complete the questionnaire below to apply for the Melissa & Doug Entrepreneurs. Learn more about the fellowship program here: http://www.MelissaAndDougEntrepreneurs.com

We recommend reviewing the application first (because you cannot save it), preparing all the required materials, and then returning to complete the application.

Due January 20, 2017 at 11:59pm PT/2:59am ET.

Have a question or comment? We’d love to hear from you! Email us at MelissaAndDoug@duke.edu

First Name
Your answer
Last Name
Your answer
Unique ID
Your answer
Preferred Email Address
Your answer
Phone Number
Your answer
What is your gender?
Personal URL (to your portfolio or other primary website you use to represent yourself)
Optional
Your answer
Current Mailing Address Line 1
Your answer
Current Mailing Address Line 2
Your answer
City
Your answer
State
Your answer
Zip
Your answer
I give entrepreneurship researchers at Duke University permission to contact me to learn more about the startup process.
Section: School Information
What school are you in at Duke?
This program is only for currently enrolled Duke undergraduates.
Major(s) at Duke
Your answer
Minor / Certificate / Other expected transcript designations
Your answer
Graduation Year
Note: Seniors are welcome to apply.
Date of Birth
Month / Day / Year (this is for travel purposes)
Your answer
Full Name as it appears on your ID
This is for travel / airline purposes
Your answer
What industry/industries are you most interested in?
Please choose all that apply.
Section: Availability Questions
If selected, are you able to be attend the Melissa & Doug Entrepreneurs Spring Break trip to Connecticut and NYC?
Attendance is required. Flights, hotel, and meals paid for by the program. Total time is roughly 3 nights, 4 days.
If we admit you to the program, are you willing to make this program, and your related startup, your PRIMARY commitment for the summer?
Where would you most like to live this summer?
You would be provided a $5,000 stipend. The preferred location for the summer is Durham! However, if your business is best served being in another city, that will be considered. The program stipend is to help cover summer living expenses.
If we admit you to the program, are you willing to meet weekly in the Fall to reflect on your experiences?
Participation is required
Questions (Required)
Please tell us in a few sentences about the most impressive thing that you have built or achieved.
About 300 words
Your answer
If you've already started working on a startup idea, what is it, how long have you worked on it, and what is the progress of building your product or service? Who are your competitors?
About 150 words
Your answer
If you have an online demo, what's the web address? (Please don't password protect it)
Your answer
If you have already participated in an entrepreneurship program before and/or worked at a startup before (even if the startup hasn't been successful), please tell us about it.
About 100 words (or leave blank if not applicable)
Your answer
Do you have commitments, either this summer, or in the future (e.g. need to work an additional job this summer to make ends meet, accepted an offer for a job for the following year, going to grad school, received a fellowship, military commitments), and if so what?
About 150 words (or leave blank if not applicable)
Your answer
Long term goal: What major problem in the world would you like to solve over the course of your career? It's ok to say "I'm not sure".
About 150 words (or leave blank if not applicable)
Your answer
Graduation: Where do you want to live after you graduate (choose a city)?
Graduation: If you couldn't work at your own startup, what company would you most want to work at when you graduate?
Your answer
Anything else you'd like to tell us about your career goals?
Questions/Comments/Suggestions
Your answer
Video (Highly Encouraged, but Optional)
The video can is sometimes the very first impression we have of you and can definitely set applicants apart.

Please tell us about yourself, what you've done in the past that's entrepreneurial, and what you'd like to do as part of Melissa & Doug Entrepreneurs. Why do you want to be an entrepreneur?

Link to your video on YouTube (leave it unlisted, no password)

1 to 10 minutes long.

Choose either:
- a Simple Video: It can be you just talking to the camera. Tell us about yourself, and what you've done that's entrepreneurial. And what do you want to do as part of the program? No special editing needed.

- a Creative Video: It can have multiple scenes or other people in it. It can even have animations. Be creative! These can be really impactful if done well. But might want to include elements of a Simple Video, talking into the camera about yourself and your idea.

Don't share anything sensitive or confidential. Assume that other people will see it and that it will be publicly available.

Link to your video
The video may be anything produced by you that you think will give us a better sense of you and your interest in entrepreneurship and Melissa & Doug Entrepreneurs. Post on YouTube and make it Unlisted.
Your answer
Section: Recommenders (Strongly Preferred)
If you make it to our final rounds, we may call your recommenders.

We suggest you choose people who worked with you on a project you are proud of. Someone who managed the project, or worked closely with you on it.

We do not recommend you list peers here, unless they have seen you work in a project-based or leadership capacity and can provide a perspective on your work abilities.

Recommender: Please list the name, email address, title, organization of a recommender(s), along with a description of your relationship to him or her
Your answer
What relevant courses have you taken (if any) and what were your grades in them?
In addition, you can add comments to explain any part of your transcript you'd like.
Your answer
What relevant skills and experiences do you have?
For example, design expertise, programming experience, engineering skills.
Your answer
Are you a Merit Scholar at Duke?
This will help us coordinate on summer funding.
TERMS AND CONDITIONS OF PARTICIPATION
By clicking "I Agree" below and submitting this page, I certify that this application is complete and accurate to the best of my knowledge. I acknowledge that I will promise to abide by the following terms and conditions of participation, if I am accepted to participate in Duke University's Melissa & Doug Entrepreneurs program and if I accept my admission to the program.

1. University and Melissa & Doug Entrepreneurs Policies: I will comply with all Melissa & Doug Entrepreneurs policies included in this document, the Duke Honor Code, and community standards. I understand that noncompliance may result in dismissal from the program at any time

2. I understand I am subject to Duke University academic, disciplinary, student conduct, and any other relevant university record checks to verify this application. If I am put on disciplinary or academic probation after Melissa & Doug Entrepreneurs acceptance for a term that overlaps the program dates, I will be dismissed from the Melissa & Doug Entrepreneurs program immediately.

3. I consent to participate in research relevant to the administration and impacts of the Melissa & Doug Entrepreneurs program. I understand that my responses to Melissa & Doug Entrepreneurs administered surveys, the content I provide to Melissa & Doug Entrepreneurs administered blogs, videos and/or written or recorded records (including capstone papers) may be used as primary sources for research. I understand that Melissa & Doug Entrepreneurs will also have access to select transcript information including but not limited to my gender, race/ethnicity, years of enrollment and graduation, intended or declared major, and student identification number to support relevant research. I understand that no individually identifying data about me or my participation will be shared publicly without Melissa & Doug Entrepreneurs first obtaining verbal or written consent and that my data will only be shared in aggregated formats combined with that of other Melissa & Doug Entrepreneurs participants. Relevant information and research may be published or shared internally at Duke, including with other programs and departments, and externally with other institutions, organizations and publications.

TERMS AND CONDITIONS OF PARTICIPATION - AGREEMENT
By clicking "I agree" - I acknowledge and agree to the above Terms and Conditions of Participation.
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