First Name: Last Name: Gender: –None–MaleFemale MSU PID: Company: MSU Email (Required): Secondary Email: Phone: Street: City: State/Province: Zip: Enrolled in the Entrepreneurship Minor: –None–YesNo MSU Entrepreneurship Association Member MSU Women in Entrepreneurship Member Website: Startup Tree link (Required) sign up here : LinkedIn: Twitter: Facebook: Google+: How did you hear about us?: –None–Ken Szymusiak (BUS 190)ReferralEship Minor programMSU Entrepreneurship AssociationMSU Women in EntrepreneurshipClass presentationWebsite/Online SearchAt an EventOther If you selected ‘Other’ please explain how you heard about the Hatch. Academic Year: –None–FreshmanSophomoreJuniorSeniorGrad StudentOtherUnknown Academic College: –None–Agriculture and Natural ResourcesArts and LettersCommunication Arts and SciencesEducationEli Broad College of Business and the Eli Broad Graduate School of ManagementEngineeringGraduate SchoolHonors CollegeHuman MedicineInternational Studies and ProgramsJames Madison CollegeLawLyman Briggs CollegeMusicNatural ScienceNursingOsteopathic MedicineResidential College in the Arts and HumanitiesSocial ScienceUndergraduate EducationVeterinary MedicineOtherUnknown What Industry your idea fall under? –None–AccountingAdvertising/MarketingAgricultureBiosciencesBusiness DevelopmentClothingConsultingEducationEngineeringFinanceFoodGovernmentHardwareInsuranceLegalLife SciencesLogisticsManufacturingMedicalMobile AppMusicNon-profitRetailSoftwareOther Brief Description: Describe the market problem being solved: What is Your Solution? *I certify that the information I have given on this form is complete and correct. I understand my failure to provide complete accurate and truthful information on this form and any future reporting methods will be grounds to deny or withdraw any services or funds given to me by Spartan Innovations. I agree to respond to all questionnaires and update my progress in a timely manner. I agree to treat the Hatch space and other Hatch members and interns with respect. I understand that photos, videos and data will be used for reporting and marketing efforts.