AINS Registration

*This form has a registration fee of $100, payment of which should be in check form and sent to:

CPO 2055
101 Chestnut St.
Berea, KY 40404.

**Checks should be payable to Berea College

Registration Information

Your Name (required):

Your Email (required):

Phone Number:

Team Member's Information (include yourself):

1. Name:
   Phone Number:
   Email:
2. Name:
   Phone Number:
   Email:
3. Name:
   Phone Number:
   Email:
4. Name:
   Phone Number:
   Email:
5. Name:
   Phone Number:
   Email:

Sponsor's Name (required):

Sponsor's Email (required):

School (required):

Concept Information

Social Venture Concept Name:

Social Venture Concept Short Description: (50 words)

Upload your One Page Business Plan below. (Max file size: 50 MB, single file only)