Entry Application
Must be submitted by 7PM on Mon., Oct 14th
Are you applying as an Individual or a Team?
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Individual
Team - Lead Applicant must be a member of the Alabama HBCU Community.
Name (Enter team lead's name if applying as a team)
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Prefix
First Name
Last Name
Suffix
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Which HBCU Are You Affiliated With?
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Please Select
Alabama A&M University
Alabama State University
Bishop State Community College
Drake State Community College
Gadsden State Community College
Lawson State Community College
Miles College
Oakwood University
Selma University
Shelton State Community College
Stillman College
Talladega College
Trenholm State Community College
Tuskegee University
How Are You Affiliated with the HBCU Above?
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Please Select
Undergraduate Student
Graduate Student
Recent Alum (3 years post-graduation or LESS)
Name of Business or Business Idea
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Describe Your Business Idea, Business, Product, or Service and What Differentiates It From Your Competitors (500 words or less). Be sure to review the judging criteria on thealabamacollective.com.:
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0/500
Please Share a Link to Your Website, If Applicable
What Phase is Your Business Currently In?
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Please Select
Ideation - Have an idea
Start-Up - Just getting things off the ground
Established - Product or Service has been provided to others
Scaling - Ready to become bigger and better
Please paste below a link to your 3 min pitch video. Be sure to review the judging criteria on thealabamacollective.com.
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IMPORTANT INFORMATION
If your team makes it to the top 10, your team will be required to join us in Birmingham on October 24th and 25th. Teams will be provided lodging and a travel stipend. Each team must provide their own mode of transportation. Due to facility constraints only 4 Team Members are allowed to travel. The information below will strictly be used for travel purposes and to identify mentors for the meet and greet. This information does not affect judging status.
If chosen as a finalist I understand I must be present in Birmingham, AL, on Thursday, October 24th starting at 1PM and Friday, October 25th from 8AM - 12PM to pitch my business/business idea for the live panel of judges.
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Yes
If chosen as a finalist, I understand I must provide my own mode of transportation to Birmingham and to each location affiliated with the competition.
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Yes
Applicant/Team Member Demographics (Please include yourself as the first Team Member. Select '+Add Row' to add additional team members. Due to facility constraints only 4 Team Members are allowed to travel)
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Name and Address for the award checks to be written and mailed to if you are awarded funding in the competition
Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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