STEM Entrepreneur Accelerator Summit
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Program Date: Saturday, May 21, 2016    Application Deadline: May 6, 2016
Program Time: 8:00am - 4:30pm

Form Instructions:

 - ALL QUESTIONS WITH * MUST BE COMPLETED. Your information may be lost and the form may need to be completed again if it is submitted without completing all fields with an *. If there is missing required information, it will prevent the form from being submitted and all the information you filled out likely will be lost and will need to be re-entered. Avoid using the "back" button of your web browser when completing this form.

- REVIEW THE ENTIRE APPLICATION FORM BEFORE YOU BEGIN. When answering multiple questions, it is important to have all the required information on hand while completing the form. Some questions will require research and preparation (i.e. college major of interest and personal essay statement). You may want to print out this form to serve as a worksheet before completing the form on-line. You may also want to prepare your statement in advance and then "cut and paste" them into the form fields below.

- You must have a VALID EMAIL ADDRESS to use this form. We will use this address in our initial correspondence with you.

- Optional resume files MUST be named following this format LAST NAME, FIRST NAME, Summit. For example, Anteater, Peter, Summit. Files that are not named, will NOT be considered.
Application Requirements
1. Completed application form
2. Resume (optional)

Questions
Contact: Dr. Sharnnia Artis

Email: sartis@uci.edu

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