Viterbi Startup Garage - 2021 Summer Smasher Interest Form

1
Who are you?* This field is required.
First Name
Last Name
2
Email?* This field is required.
example@example.com
3
What is your status?* This field is required.
Undergraduate Student
Masters Student
PhD Student
4
What school are you from?* This field is required.
Annenberg School for Communication & Journalism
Biokinesiology and Physical Therapy
Bovard College
Chan Division of Occupational Science and Occupational Therapy
Davis School of Gerontology
Dornsife College of Letters, Arts, and Sciences
Glorya Kaufman School of Dance
Gould School of Law
Graduate School
Herman Ostrow School of Dentistry
Iovine and Young Academy
Keck School of Medicine
Leventhal School of Accounting
Marshall School of Business
Roski School of Art and Design
Rossier School of Education
School of Architecture
School of Cinematic Arts
School of Dramatic Arts
School of Pharmacy
Sol Price School of Public Policy
Suzanne Dworak-Peck School of Social Work
Thornton School of Music
Viterbi School of Engineering
5
What are you majoring in?* This field is required.You can write more than 1 if applicable, you may also add your minor.
6
How did you hear about us?* This field is required.
I was referred
Instagram
Twitter
Newsletter
Flyer
Web search
Other
7
Who referred you?* This field is required.
8
Which newsletter?* This field is required.
9
What was the account handle?* This field is required.
10
How'd you like this form?* This field is required.
Dislike
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