EmailMe Form - I-Corps PR 9 2019: Team Application Form

EmailMeForm

Project Name *
Full Name *
Email *
Phone *
### - ### - ####
Do you commit to attend all sessions?

Location: San Juan, PR
Venue: University of Puerto Rico, Río Piedras

Kick-Off Weekend
Friday, October 4 to Sunday, October 6 (9am - 6pm)

Weekly Meeting 1
Saturday, October 12 (9am - 5pm)

Weekly Meeting 2
Saturday, October 26 (9am - 5pm)

Conclusion
Saturday, November 2 to Sunday, November 3 (9am - 5pm) *
How did you hear about us?
Tell us what organization you are associated with
(e.g. University including Campus, Company, Organization, etc.)
Tell us about your project!
What is the concept or idea you are developing? Why? *
What do you think is unique about your project? *
Tell us about your team!
How many team members do you currently have in your group?

1 person teams are not accepted *
2-3
4-6
more than 6
Who's on your team? (Enter N/A if not applicable) *

Name Direct Telephone Email Profession Organizational Affiliation Will they participate of I-Corps?

Team member 1

Team member 2

Team member 3
Does at least 50% of the ownership of the business concept submitted belongs to someone who resides, works, or attends school in Puerto Rico? *
Why your team? Why now? *
*** Please note that you don't need a mentor to qualify for the program. If you don't have a mentor, we will assign you one.*** If you do have a mentor, please complete the information below. Mentors must be committed to the I-Corps program and its time frame. In other words, they should come with you to all the workshops. (Mentor: A successful entrepreneur, corporate executive, investor, or academic professional who is choosing to play an active role in the development of a startup by providing advise and wisdom through their past experiences.)

Name Telephone Email Profession Will they participate of I-Corps?

Mentor
Final questions
Why do you want to participate in the program? *
What will you do if no one wants your initial idea? *
NEW Sustainability Special Track Powered by Heineken!
As part of their commitment to entrepreneurship, Heineken is looking for innovative ideas that promote sustainability in Puerto Rico.

I-Corps PR Cohort 9 teams that target one or more of the Sustainable Development Goals listed below could win a cash prize of up to $5,000 sponsored by Heineken.

If you think your business idea qualifies for this award, please check all that apply below (optional):
Alleviate Poverty
Zero Hunger
Good Health and Well-Being
Quality Education
Gender Equality
Clean Water and Sanitation
Affordable and Clean Energy
Decent Work and Economic Growth
Industry Innovation and Infrastructure
Reduced Inequalities
Sustainable Cities and Communities
Responsible Consumption and Production
Climate Action
Life Below Water
Life on Land
Partnership for the Goals
Peace Justice and Strong Institutions
Please explain how your business idea promotes the Sustainable Development Goal(s) selected above.
To learn more about the UN Sustainable Development Goals, visit: https://sustainabledevelopment.un.org/sdgs

	Name	Direct Telephone	Email	Profession	Organizational Affiliation	Will they participate of I-Corps?
Team member 1
Team member 2
Team member 3

	Name	Telephone	Email	Profession	Will they participate of I-Corps?
Mentor

Tell us about your project!

Tell us about your team!

Final questions

NEW Sustainability Special Track Powered by Heineken!