Please have your one-page Executive Summary and team/product photos ready for upload before completing this form. Page 1 of 4 Your information Business name * Is your business currently in operation? * Yes No Applicant name * This should be the person who is the primary contact for your business. Email address * Home address * City * State * - Select -ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY ZIP * Phone * School name * Graduation Year *