Please select your preference * - Select -I have my own idea and want to start a team as a FOUNDER Business Idea Business/Project Name * Does your business idea have a website? If yes, please put the URL below. Does your business idea have any social media accounts? Please list both the social media site and the name of your account. For example, Twitter: @iowajpec Provide a brief description of your idea. * Provide a brief description of your competition and your competitive advantage. * What is the IP status of your idea? * How can this program help you launch a startup? * Founder Contact Information First Name * Last Name * Current educational institution * Status * - Select -UndergraduateGraduate/ProfessionalRecent Graduate Major(s) * Minor(s) Certificate(s) HawkID * (example: djones) If you do not have a HawkID please write N/A. Student ID * (example: 00888888) If you do not have a student ID, please write N/A. Email * Phone Number * Mailing Address * How many additional team members does your business have? * - Select -NoneOneTwoThreeFour or more Team Member 1 Information First Name * Last Name * Current educational institution * Status * - Select -UndergraduateGraduate/ProfessionalRecent Graduate Major(s) * Minor(s) Certificate(s) HawkID * (example: djones) If you do not have a HawkID please write N/A. Student ID * (example: 00888888) If you do not have a student ID, please write N/A. Email * Phone Number * Mailing Address Team Member 2 Information First Name Last Name Current educational institution Status - None -UndergraduateGraduate/ProfessionalRecent Graduate Major(s) Minor(s) Certificate(s) HawkID (example: djones) If you do not have a HawkID please write N/A. Student ID (example: 00888888) If you do not have a student ID, please write N/A. Email Phone Number Mailing Address Team Member 3 Information First Name Last Name Current educational institution Status - None -UndergraduateGraduate/ProfessionalRecent Graduate Major(s) Minor(s) Certificate(s) HawkID (example: djones) If you do not have a HawkID please write N/A. Student ID (example: 00888888) If you do not have a student ID, please write N/A. Email Phone Number Mailing Address Team Member 4 Information First Name Last Name Current educational institution Status - None -UndergraduateGraduate/ProfessionalRecent Graduate Major(s) Minor(s) Certificate(s) HawkID (example: djones) If you do not have a HawkID please write N/A. Student ID (example: 00888888) If you do not have a student ID, please write N/A. Email Phone Number Mailing Address What are your goals for the Hawkeye Startup Accelerator? * What experiences would you like to tell us about (pitch contest, classes, internships) that make you a good candidate for the Accelerator? * How did you hear about Hawekeye Startup Accelerator? * Media Release BY TYPING MY NAME IN THE FIELD BELOW, I AM AGREEING THAT I AM AT LEAST 18 YEARS OF AGE, AND THAT I'VE READ, UNDERSTOOD, AND GIVEN PERMISSION FOR THE USE OF MY LIKENESS OUTLINED HERE: I hereby provide permission for the University of Iowa and John Pappajohn Entrepreneurial Center to use, reproduce, electronically publish and display my name and company name, photograph, and any information provided by me in all media including, but not limited to, newpapers, magazines, television, radio, and Internet websites for the purpose of promoting the John Pappajohn Entrepreneurial Center and the University of Iowa. I undertand that this media will be accessible throughout the world and that stories may be in written, video and electronic form. SUBMIT Digital Signature * 2+2