Ag Innovation Entrepreneurship Academy 2015 Application
April 21-23, 2015 @ UC Davis

The academy is a three-day immersive program integrating lecture, exercises, and individual projects. Participants work to identify, design, and validate new business opportunities for their research. Sessions are taught by venture capitalists, angel investors, entrepreneurs and industry executives.

First Name *
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Last Name *
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Gender *
Email *
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Phone *
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Address 1 *
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Address 2
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City *
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State *
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Zip Code *
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Country
(if not from the US)
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University
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Department
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Degrees Completed
Include institution, major / area of study, and date
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Please check the boxes that best apply to you *
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In non-technical terms briefly describe your area of research. *
20 words or less
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List Faculty Mentor and University
Faculty do not need to complete
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Faculty Mentor's Email
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Describe (in 150 words or less) a technology or innovation you would like to bring to the program and its potential for commercialization and/or business development. *
This technology need not be a part of your own research.
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Team Application
If applying to AgEA as a team please list your other members.
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Dietary Restrictions
Please inform us of any special needs (vegetarian, vegan, allergies, etc.)
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How did you hear about this program? *
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Please indicate if you are affiliated with one of the following programs:
I am interested in being considered for a Keller Entrepreneurship Academy Fellowship to attend.
For more information, read here --> http://gsm.ucdavis.edu/keller-fellows
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