2019 Startup 101 Application
Entrepreneurship Center at UCSF

Deadline: December 10, 2018

Your Full Name *
Email: *
Phone Number: *
Affiliation *
Required
Please check all that describe your status *
Required
What is your field? *
Required
What is your experience? *
Why do you want to take this course? *
Are you currently working on a venture? *
If yes, please describe your venture.
Do you have a team identified, with or without a specific venture in mind? *
Required
If you have a team, list their names and identify team lead (team members also need to submit an application)
Have you ever been involved with an entrepreneurial venture? If yes, please describe the venture and your role: *
Have you taken any entrepreneurship courses at UCSF or elsewhere? Which ones and where? *
What are your expectations for the course? What do you want to get out of it? *
There is a significant time commitment outside class, in the range of 15-20 hours. How will you handle that commitment in addition to your other responsibilities? *
How did you hear about the course? *
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