Commercializing New Technology Academy | John Pappajohn Entrepreneurial Center

First Name

Last Name

Student ID Number

Type of Management Major

Management - Entrepreneurial Management

Enterprise Leadership major

Certificate in Entrepreneurial Management

Technological Entrepreneurship Certificate

As of Feb. 1, 2022, are you a full-time or part-time student?

Full-time

Part-time

What year are you in school (Current academic standing as of Feb. 1, 2022)?

(Example: junior)

You are primarily taking classes:

On campus

Distance education-based

Total Number of Credit Hours Earned (as of Feb. 1, 2022)

Cumulative GPA

Expected graduation date (please include month and year)

Example: May 2023

Certification Statement

I confirm the following statement:

By checking this box, I certify that I have officially declared the academic program shown above, and I will have successfully completed the Entrepreneurship and Innovation or Entrepreneurial Strategy course and either of the Entrepreneurial Marketing or Entrepreneurial Finance courses by the beginning of the fall semester.

Certification Statement

I confirm the following statement:

By checking this box, I commit to enrolling in both the fall and spring courses associated with the Academy and actively participating in Academy activities during my final year of study.

Please upload a copy of your resume

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Please upload a one-page statement explaining why you think you should be selected to join the Commercializing New Technology Academy

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