Student Startup Application

* indicates required field.

I am a currently enrolled CSUSB student, faculty or staff member *

Yes
No

Your Coyote ID*

My primary campus is: *

Palm Desert
San Bernardino

For current CSUSB Students ONLY

CSUSB Major Concentration area:

Your Class Level: *

Freshman
Sophmore
Junior
Senior
Graduate Student

Your Contact Information:

First Name:*

Last Name:*

City:*

email:*

Secondary email:

Phone*

Team Members (if applicable):

Co-founder(s) Name:

Co-founder(s) Email Address:

Startup Information: *

By entering you agree that the business concept(s) presented below are:
1. Your original work.
2. Is not in violation of the CSUSB Code of Ethics.
3. Does not violate any local, state, or national law.
4. Is not pornographic in nature.*

Startup Name (If applicable): *

What is the problem your startup aims to solve? (150 words or less): *

Why is this an important problem to solve? (150 words or less): *

How does your startup address this problem? (150 words or less): *

What stage is your startup currently in? (150 words or less): *

What milestones have you achieved so far? (150 words or less): *

Student Startup Program Expectations: *

What do you hope to achieve by participating in our student startup program? (150 words or less): *

Additional Information (if applicable):

Please provide any additional information or relevant links (e.g., website, pitch deck, demo video, sample business plan) to support your application.

Please Upload a Professional Headshot (JPG or PNG file no larger then 2MB):

ADDITIONAL FILES:

For questions related to the application, please feel free to contact Mitchell Morris at mitchell.morris@csusb.edu or Peiyi Jia at peiyi.jia@csusb.edu.

PROMOTIONAL RELEASE

By submitting this entry, you hereby declare that all the information provided in this application is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in disqualification from the student startup program and assign all rights to the video footage, sound recordings, printed material and/or web promotion(s) made of you and your team members by the Randall W. Lewis Center for Entrepreneurship (RLCE) located at California State University San Bernardino (CSUSB). In addition, you hereby authorize the reproduction, copyright, exhibition, broadcast, and/or distribution of said video footage, sound recording, printed material, and/or web promotion without limitation. By submitting your entry below you hereby certify that you and ALL team members are over eighteen years of age, and competent to contract in your "TEAM’s" name in so far as the above is concerned.

4+5=?