BITS Y.C.E.O. APPLICATION FORM
Please complete the form below to be considered for the upcoming BITS Y.C.E.O. Program. The information you provide will be treated as confidential and will be used for program assessment purposes only.

Note:
YCEO will take place over 7 consecutive Saturdays, running from 10:30AM to 1:30PM beginning March 24 to May 5.
Full attendance is mandatory.

Deadline for submission is Friday, March 9th 2018 at 11:59 pm.

Name (First and Last): *
Your answer
Age: *
Your answer
Gender *
Are you: *
Email: *
Your answer
Phone: *
Your answer
Address: *
Including street address, city and postal code
Your answer
Annual income: *
All questions are for assessment purposes only
Highest level of education completed *
Area of study:
Your answer
Additional courses and training:
Your answer
Educational goal (if you have one):
Your answer
Career goal (if you have one):
Your answer
How did you hear about BITS? *
Your answer
What goals do you have for this program – what do you hope to accomplish? *
Your answer
How can we help you accomplish your goals? *
Your answer
Please provide a brief description of your business idea: *
What are you selling? Who are the customers?
Your answer
YCEO includes a final pitch session which will take place offsite the week of May 7th. Can you commit to attending all sessions including the final pitch? *
Submit
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