Declare Intent to Complete: Undergraduate Certificate in Interdisciplinary Entrepreneurship

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Use this form to declare your intent to complete an Undergraduate Certificate in Interdisciplinary Entrepreneurship. Details about this certificate and other entrepreneurship opportunities throughout campus can be found at https://entrepreneurship.ncsu.edu.

Once this form is completed and processed, you will be added to the Certificate Moodle Project Space where you will track your progress and complete certificate requirements.

If you have any questions, please email entrepreneurshipcertificate@ncsu.edu.

Email *

Last Name *

First Name *

Middle Name *

Student ID # (Please fill in all 9 numbers including zeros!) *

Phone Number *

What is the primary college and program that you are currently enrolled in? If you have a second major, you will have the option to tell us below. *

If you have a second major, please list it here:

Please list any minors, other certificates, concentrations, additional majors, etc here:

Please list any entrepreneurship courses that you have already completed or are currently enrolled in at NC State:

Please list the name of your academic adviser? *

I understand that by submitting this completed form, I am requesting to add the Undergraduate Certificate in Interdisciplinary Entrepreneurship (Certificate Code 24EICPTU) to my academic plan. *

Yes, I agree to the above statement

Required

I understand that I must successfully complete all stated requirements in order to receive this certificate. *

Yes, I agree to the above statement

Required

I understand that I will be added to the Undergraduate Certificate in Interdisciplinary Entrepreneurship Moodle Project Space where I will be responsible for tracking my progress, reading any updates, submitting completed certificate elements, and managing my participation in this certificate. *

Yes, I agree to the above statement

Required

A copy of your responses will be emailed to the address you provided.

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