i2E Fellowships Application

Section One: Contact information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Are you authorized to work in the U.S.?*

Yes
No

Section Two: Student Application Information

Preferred geographic location.*

University or College*

Classification*

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?

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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