Business Name * Short Business Description * Please keep your descriptions below 160 characters. Does your business have a valid Vendor ID and Tax ID? * Yes No You will be required to have a Vendor and Tax ID if you business is awarded any amount greater than $1,000. Which category will you be competing in? * Entry-Level | For students with an idea or a newly started business Established | For students with an established business Primary Contact Information First Name * Last Name * E-mail * If you do not have a university e-mail address, please list the e-mail address that you check most often. Phone * HawkID * (example: djones) Student ID Number * (example: 00888888) Major(s) Minor(s) Certificate(s) College/Department Are you a founder of this business? * Yes No How many additional team members does your business have? * ZeroOneTwoThree Additional Team Members Part 1 (if applicable) First Name Last Name E-mail If you do not have a university e-mail address, please list the e-mail address that you check most often. Phone HawkID (example: djones) Student ID Number (example: 00888888) Major(s) Minor(s) Certificate(s) College/Department Are you a founder of this business? Yes No Additional Team Members Part 2 (if applicable) First Name Last Name E-mail If you do not have a university e-mail address, please list the e-mail address that you check most often. Phone HawkID (example: djones) Student ID Number (example: 00888888) Major(s) Minor(s) Certificate(s) College/Department Are you a founder of this business? Yes No Additional Team Members Part 3 (if applicable) First Name * Last Name * E-mail * If you do not have a university e-mail address, please list the e-mail address that you check most often. Phone * HawkID (example: djones) Student ID Number (example: 00888888) Major(s) Minor(s) Certificate(s) College/Department Are you a founder of this business? Yes No Link to Elevator Pitch * Select any program below that you have been involved in Founders Club Iowa Medical Innovation Group (IMIG) Participant Iowa Startup Games IdeaStorm This is my first Iowa JPEC competition Disclaimer: If you place in this competition and are awarded a prize of $1,001 or greater you will be required to set-up a Vendor ID for your business in order to receive payment (if your business does not already have one set up). Prize earnings are intended to go towards advancing businesses. 2+2