Startup Moxie St Joseph County Application

St Joseph County Applicant Information
Name

First NameLast Name
Email
Confirm Email
School
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What year will you be in August 2023?
Startup Moxie is a program that takes place offsite and in the community. Our main meeting site is RISE at 1400 E. Angela Blvd South Bend, IN 46617, however, locations can vary based on tours and guest speakers.
Will you have access to your own transportation by August 2023?
Do you anticipate needing support with transportation to our location?
If yes, please describe your transportation situation to us so we can better understand.
Do you have a laptop, desktop, or regular access to a computer with internet access?
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Digging Deeper Questions

Please refrain from using your name or mentioning the school you attend in your response. Our selection committee uses a blind selection process. Any responses with names and indicating information will have that information removed prior to review by the selection committee. Please address the following questions:
Why do you want to be part of Startup Moxie?

0/250
What makes you unique?

0/250
Describe a time when you felt most alive? Why?

0/250
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Digging Deeper Questions Continued

Please refrain from using your name or indicating what school you attend in your response. Our selection committee uses a blind selection process. Any responses with names and indicating information will have that information removed prior to review by the selection committee. Please address the following questions:
Describe a time when you have failed and how you dealt with it.

0/250
Describe a team experience you found rewarding and why.

0/250
Describe a team experience you found disappointing and why. What would you do differently next time?

0/250
By clicking back or next, your application will automatically save.

Digging Deeper Questions Continued

Please refrain from using your name or indicating what school you attend in your response. Our selection committee uses a blind selection process. Any responses with names and indicating information will have that information removed prior to review by the selection committee. Please address the following questions:
What is something that you like to work on in your own time/ outside of school?

0/250
What is a problem you see in this community, region, and/or world that needs to be solved? How would you solve it through entrepreneurship?

0/250
Is there anything else you would like RISE to know about you?
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References

If you had to pick two people that would help us better understand you, who would they be? Please provide their name, how you know them, email, and phone number. We will contact them. Please, do not list your parents.
Reference 1

First NameLast Name
Relationship to you
Reference 1 Email
example@example.com
Reference 1 Phone Number

Area CodePhone Number
Reference 2

First NameLast Name
Relationship to you
Reference 2 Email
example@example.com
Reference 2 Phone Number

Area CodePhone Number
Would you like to provide an additional reference?

YesNo
Reference 3

First NameLast Name
Relationship to you
Reference 3 Email
example@example.com
Reference 3 Phone Number

Area CodePhone Number
By clicking back or next, your application will automatically save.

St Joseph County Applicant Information