Application Form for Lockers at The BASE
Application Period:
Fall: 1 Aug - 1 Sept
Spring: 1 Jan - 1 Feb
Section 1: Basic Information
Service: *
Time period (Select ONE period ONLY, please put a ✓ in the appropriate box): *
Preference of locker sizes *
Section 2: Details of the Applicant(s)
Name of Startup: *
Your answer
Team Representative (Full Name*) *
Your answer
Program *
Year of Study *
Contact Number *
Your answer
Email *
Your answer
Section 3: Details of the Startup Project
Area(s): (Please put a ✓ in the appropriate box(es)) *
Which of the following(s) has your team achieved? *
Thanks! We will contact you shortly :)
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