| 1.
Team / Business name: |
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| 2.
Student/Alumni classification: |
|
| 3.
Primary contact: |
|
First name: |
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Last name: |
|
Major or graduate program: |
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Year in program
(e.g., freshman or first year grad): |
|
Address: |
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City: |
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State: |
|
ZIP code: |
|
Phone: |
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E-mail address: |
|
| 4.
Additional Team Members
(This can be updated as business plan develops): |
| A.
First name: |
|
| Last
name: |
|
Student/Alumni classification
|
|
Major
or graduate program: |
|
Year
in program: |
|
E-mail:
|
|
Phone:
|
|
| B.
First name: |
|
| Last
name: |
|
Student/Alumni classification
|
|
Major
or graduate program: |
|
Year
in program: |
|
E-mail:
|
|
Phone:
|
|
| C.
First name: |
|
| Last
name: |
|
Student/Alumni classification
|
|
Major
or graduate program: |
|
Year
in program: |
|
E-mail:
|
|
Phone:
|
|
| D.
First name: |
|
| Last
name: |
|
Student/Alumni classification
|
|
Major
or graduate program: |
|
Year
in program: |
|
E-mail:
|
|
Phone:
|
|
E. For each additional person include
information as in #4A
(name, classification, major, year in program, e-mail, phone
number). |
|
| 5.
Summary of business plan idea (not to exceed 50 words): |
|
|
| 6. Which category best describes
your idea? |
|
| 7. Percentage of company
owned by student team members.
|
| 8. Is your business
incorporated? |
If yes, months
in operation?
|
|
9. Have you
raised seed capital to date?
|
If yes, total
dollars raised?
|
|
10. Has your
business venture generated revenues to date?
|
If
yes, total annual revenue?
|
|
11.
I would like to be assigned a mentor for the New Venture Plan
process.
|
I hereby give permission to the SU New Venture
Plan Competition staff to release team contact information
(i.e. team supplied phone numbers and/or e-mail address) to
interested individuals who inquire about a specific team with
the SU Entrepreneurship Center staff.
|
|
| We represent that any idea, discovery, invention,
or concept disclosed in the business plan originated with
one or more members of the team or is being used with appropriate
permission from its rightful owner. Further, we understand
that Seattle University, the Albers School of Business and
Economics, and the Entrepreneurship Center make no commitment
that the business plan shall be kept secret. By submitting
this form, we agree to these terms. |
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