2018 Food, Ag + Health Entrepreneurship Academy - Participant Application
Tuesday-Thursday, February 6-8, 2018 @ 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.

Scholarships available - please indicate interest below.

First Name
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Last Name
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Gender
Email
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Cell Number
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Mailing Address
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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.
Required
In non-technical terms briefly describe your area of research or interest.
20 words or less
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List Faculty Mentor and University (if applicable)
Faculty do not need to complete
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Faculty Mentor's Email (faculty do not need to complete)
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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 FAHEA as a team please list your other members.
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Dietary Preferences (if applicable)
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Food Allergies (if applicable)
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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:
Due to financial need, I would like more information on scholarship availability.
Registration Fees - $250: In-state university/college students and faculty. $500: Out-of-state university/college students and faculty. $1,500: No university affiliation.
I would like to be considered for a need-based travel and/or lodging grant.*Need-based travel and lodging grants are available with funding provided by the State of California through Assembly Bill 2664: University of California Innovation and Entrepreneurship Expansion.
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