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i2E Fellowships Application
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admin
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8 December, 2014
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i2E Fellows Summer 2016 Application Form
Section One: Contact information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Are you authorized to work in the U.S.?
*
Yes
No
Section Two: Student Application Information
Preferred geographic location.
*
Oklahoma City Area
Tulsa Area
Either
University or College
*
Classification
*
Undergraduate
Graduate
Expected Date of Graduation
*
Cumulative GPA
*
Please enter a value less than or equal to
4
.
Previous Semester GPA
*
Please enter a value less than or equal to
4
.
Major / Degree Program
*
Minor / Specialization (if any)
Name of Academic Advisor
*
First
Last
Section Three: Business Plan Competitions
*Have you competed, or are you planning to compete, in the Donald W. Reynolds Governor’s Cup Competition?
*
Yes
No
If so, when?
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
Have you competed in any other business plan competitions?
*
Yes
No
If so, which competition and when?
Section Four: Supplemental Information
Are you enrolled, or do you intend to enroll, in any classes during the Fellowship?
*
Yes
No
Do you intend to hold another job (work-study, part-time) during the Fellowship?
*
Yes
No
Section Five: Placement
Please describe your interest in entrepreneurship:
*
Please list your relevant skill sets or strengths that you feel would be valuable to i2E or its clients.
*
What new knowledge and / or skills do you most wish to gain from this experience?
*
Other relevant comments:
Section Six: References
Reference 1 Name
*
First
Last
Reference 1 Phone
*
Reference 1 Type
*
Professional
Personal
Reference 2 Name
*
First
Last
Reference 2 Phone
*
Reference 2 Type
*
Professional
Personal
Section Seven: Other requirements for participation in the i2E Fellows Program
Are you able to meet the following requirements?
*
Participate in the interview process at i2E, Inc.’s Oklahoma City offices
If placed with an i2E client company, act as an independent contractor to i2E and not considered an employee of i2E, Inc. or sponsoring company. Fellows are responsible for payment of all employment taxes
Execute a Memorandum of Agreement with i2E, Inc. and the sponsoring company prior to beginning the Fellowship
Sign a Confidentiality / Non-Disclosure agreement
Available to work 40 hours a week for 10 weeks, starting June 6, 2016
Upload Resume
*
I understand and accept the requirements of the i2E Fellows Program and submit this application to participate in Program:
*
Yes
No
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