Entrepreneurial Experience

Entrepreneurial Experience
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
High School*
Academic Year 2022-23 HighSchool*
Extracurricular activities, interests, hobbies*
Career goal*
Work experience*
Other areas of interest or special skills*
STUDENT STATEMENT OF COMMITMENT

I understand that if I am selected to participate in Entrepreneurial Experience, I will:
- Attend all sessions.
- Make the necessary time and transportation arrangements to enable me to participate in this program.
Signature*

Clear
Date*
Should be Empty: