Please select your preference * - Select -I want to join a team as an INTERNI 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 * Intern Contact Information First Name * Last Name * Status * - Select -UndergraduateGraduate/ProfessionalRecent Graduate Current educational institution * 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 * List the skills that you have that would make you a desirable intern to one of our student teams. (ex: social media managemnet, accounting, app development, graphic design, marketing, etc.) Please upload a copy of your resume * Files must be less than 2 MB.Allowed file types: pdf doc docx ppt pptx xls xlsx. Please upload a cover letter that will be shared with student Founders * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx odt ppt pptx odp xls xlsx. 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 Additional Team Member Questions Do you need any additional interns assigned to your team? No Yes If so, how many do you need? 1 2 Have the team members worked together? - None -YesNo 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