Startup Moxie Elkhart County Class of 2025-2026
Student Application
Instructions
This is the application for the ELKHART COUNTY Startup Moxie program. Please make sure to fill out all information in the application, including one letter of recommendation. We really want to get to know who you are as a person, so don't stress too much about making sure the application is 100% perfect. After you complete the application, we will be in touch to schedule an interview. You are able to submit your application without attaching the letters of recommendation. We ask you to email the letters directly to kris@startupec.org when you secure those. If you have any questions at all about Startup Moxie or the application, please feel free to reach out to Kris Weimer at kris@startupec.org
Student Name
First Name
Last Name
Student Cell Phone Number
Please enter a valid phone number.
Student Personal Email
example@example.com
School Name
Student School Email
example@example.com
What grade will you be in August 2025?
Date of Birth
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #1 Name
First Name
Last Name
Parent/Guardian #1 Phone Number
Please enter a valid phone number.
Parent/Guardian #1 Email
example@example.com
Parent/Guardian #2 Name
First Name
Last Name
Parent/Guardian #2 Phone Number
Please enter a valid phone number.
Parent/Guardian #2 Email
example@example.com
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Why do you want to be a part of Startup Moxie Elkhart County?
What makes you a good candidate for this program?
Think of a time that you did not meet a goal or failed at something. How did you deal with it, and what did you learn from the experience?
Demonstrating responsibility is crucial in Moxie. Share how you demonstrate responsibility on a regular basis.
List three questions you would ask an entrepreneur that spoke to the class.
Are there local entrepreneurs you admire?
What activities do you participate in at school, as well as outside of school?
What businesses or programs in the Elkhart County area are you interested in learning more about?
If you had $1,000 to start a business or develop a program, what would you do and how would you use the money?
Each student is required to provide their own transportation to and from class locations and/or business tours throughout Elkhart County each day. Will you have access to your own transportation by August 2025?
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How did you hear about Startup Moxie Elkhart County? Please share the names of those who recommended it to you.
Please upload one written recommendation from a teacher, guidance counselor, coach or employer (not related to you). If you would like to submit the letter separately, or have a second recommendation (optional), please email them to kris@startupEC.org
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