Roth Conference Application

FIRST NAME

LAST NAME

PREFERRED NAME

EMAIL ADDRESS

PHONE

MAJOR(S)

MINOR

YEAR IN SCHOOL

FRESHMAN

SOPHOMORE

JUNIOR

SENIOR

GRADUATE STUDENT

EXPECTED GRADUATION DATE

UPLOAD RESUME (PDF ONLY)

One file only.
50 MB limit.
Allowed types: pdf.

LINKEDIN PROFILE LINK (Optional)

HOW DID YOU HEAR ABOUT THIS OPPORTUNITY?

HAVE YOU ATTENDED THE ROTH CONFERENCE BEFORE?

YES

EMERGENCY CONTACT INFORMATION

NAME

PHONE

EMAIL ADDRESS

RELATIONSHIP TO YOU

WILL YOU BE ABLE TO ATTEND THIS CONFERENCE FROM MARCH 22-24?

These dates include Monday and Tuesday school days after Spring Break.

YES

LETTER OF RECOMMENDATION

Applicants must submit one letter of recommendation from a University of Iowa faculty member, staff member, or board member. (Digital signature of faculty, staff, or board member required).
One file only.
50 MB limit.
Allowed types: pdf.

VIDEO SUBMISSION

Applicants must provide a link to a 3–4-minute video responding to the following:

• Introduce yourself and explain why you believe you would be an excellent representative for the University of Iowa at this conference.

Then answer one or two of the prompts below:

Describe a challenge you’ve overcome and how it has shaped your growth as a student or emerging professional.

Explain what unique perspective or value you would bring to conversations with entrepreneurs, investors, or peers at the conference.

Share a time you demonstrated leadership or initiative and what you learned from the experience.

One file only.
50 MB limit.
Allowed types: mov.