BIT-AMENA Certificate Course July 2017: A Two Week Course on Hi-Tech Entrepreneurship and Investment at UC Berkeley and Silicon Valley
Please complete the application form.

If you have any questions about the program or application please send an e-mail to amenaced@haas.berkeley.edu
Information about lodging can be found at: http://amenaced.haas.berkeley.edu/courses/#visitor

Deadline for applications is March 20, 2017.

Email address
Name (last, first, middle initial)
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Email
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Address
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Phone number
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Gender
Date of Birth
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Country of Citizenship
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Last Year of Education Completed
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Why do you want to participate in this program? (300-500 words)
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What do you hope to achieve by participating in this program? (300-500 words)
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I am interested in:
Tell us briefly about your background: (300-500 words)
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Is there any additional information that you wish to share (up to 500 words)
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How did you find out about this program? Please specify the name of the organization, website, or person through which/whom you learned about the program.
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Note: Attendees are responsible for securing their own housing.
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