Application Form: The Berkley Center Innovation & Enterpreneurship Lab (Fall 2009)
Please complete all of the sections below and submit when done. We'll be in touch shortly. Thanks!
First Name:
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Last Name:
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Email:
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Phone:
Company:
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Title:
NYU Status:
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Student
Alumnus/a
Faculty
Staff
NYU School Affiliation:
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Stern
CAS
Courant
Dentistry
Gallatin
Law
Medicine
Poly
Tisch
Other
NYU degrees held & Major(s):
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If applicable, please list any other degrees earned and your major/specialization.
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Have you ever been actively engaged in an entrepreneurial venture?
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Yes
No
If you have a particular interest in one or more of the following areas, please indicate. (Acceptance in the program is NOT contingent upon an interest in one of these areas.)
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Video games
Government IT modernization
Online music services
Biotech
Medical devices
Scientific computing/applied mathematical algorithms to software
Advance operations research systems
Software tools for economic analysis
Describe what you'd like to get out of the Innovation & Entrepreneurship Lab.
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Describe something (it can be anything) you've encountered within the last six months and felt was particularly creative. Explain why.
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