UIC Entrepreneurial Support Program Registration Form

Thanks for visiting our online registration page. Please complete the questions below.

If you have questions, please use our preferred method of contact - email: sbob@uic.edu or call us at 312.996.4057.

    Information about you:

    This is a required question
    This is a required question
    Must be a valid email address
    This is a required question
    Please use this format: ###-###-####
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question