Entrepreneurship for the Public Good

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 Information

Title:

Sponsor's Name (required):*

Sponsor's Email (required):*

School (required):

Concept Information

Social Venture Concept Name:

Business Type:

Social Venture Concept Short Description: (150 words)

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

The document submitted is the original work of the individuals(s) as named above.

Entrant(s) Name (required):

*Submit your final concept and application by 5:00 pm EST on March 28, 2014.