2018 Pomona Innovation Weekend Student Registration

September 29-30, 2018

This a free event

Boot Camp and Preliminary Ideas @ CPP

Friday, September 28 from 6-8PM

Student Information

Name*

First Name

Last Name

Student ID*

Phone number*

Email*

Check this box to receive information from the iLab

Yes

Are you available from 9 a.m. on Saturday, September 29, 2018 until 6 p.m. on Sunday September 30, 2018 for the Pomona Innovation Weekend Program?*

Yes No

Please explain*

Background and Education

Field of study (or area of expertise)*

Website

Link to your website, blog, or LinkedIn, if available.

Which instiitution do you attend?*

If other, please specify*

I have previously:

Started a new venture Worked at a startup Taken a university class in entrepreneurship

I am familiar with these concepts:

Lean startup Business model canvas Market validation Rapid prototyping

Short Answers

Why do you want to participate in the Pomona Innovation Weekend?*

Do you have any ideas you will be bringing to PIW*

How did you hear about this opportunity?*

If other, please specify*

Dietary restrictions*

If other, please specify*

Note: Food over the weekend will be provided by sponsors. We will attempt to accommodate any restrictions; however, we may not be able to accommodate all of them. Thank you for your understanding.

Permissions

If your application is accepted, does the Student Innovation Idea Lab (iLab) have permission to use your company’s name, logo, and product for promotion of the iLab or Cal Poly Pomona?*

Yes No

If yes, please write your signature below:*

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2018 Pomona Innovation Weekend Student Registration

**This a free event**

Student Information

Background and Education

Short Answers

Permissions

This a free event