CENTER FOR ENTREPRENEURSHIP :: UNIVERSITY OF MICHIGAN

Entrepreneurship Practicum Application

This is an application to enroll in either ENGR 411.001 Entrepreneurship Practicum or ENGR 411.002 Social Venture Creation Practicum.

NOTE: Please submit only one application per team. On your application, please be sure to correctly indicate which of your team members want to enroll in the Entrepreneurship Practicum.

* Indicates a required field

I am applying to: *

Engr 411.002 Social Venture Creation Practicum Course
Engr 411.001 Entrepreneurship Practicum Course

Please describe the stage of your company: *

Idea (your company is in the idea phase or product does not yet exist)
Prototype (your company has a working product or website prototype)
Customer validation (you are testing the product with customers)
Operational (company has steady revenue)
Growth(company is in a growth phase)
You do not have an idea or venture yet, but you would like to join an existing student company team.

Company Name or Idea Description: *

Team Members: *
Enter the requested information for all members of your project team.

Please list yourself as Team Member #1 (this person will receive the email confirmation).

How many team members are in your company currently (including yourself)?

Are you looking to add more team members to your project? *

Yes No

If yes to the above question, indicate the skills/expertise you are in need of (choose all that apply):

Computer Programming / Website Development
Product Development
Marketing
Business Development
Legal Expertise
Fundraising
International Experience
Manufacturing
Finance
Design
Other (Please Specify)

Product Information (A product can be a consumer or social good, service, or technology innovation.)
In 250 words or less, address the following:
1. What is your proposed product?
2. What need or consumer demand is this product addressing?
3. Are there other products/solutions already addressing this same demand/issue? If so, please list two or three specific examples. (Note: A basic internet search will help answer this question.)
4. How does your product differ from similar, existing products?
5. How does your product improve upon similar, existing products? *

Target Customer
In 150 words or less, address the following:
1. Who are the customers and users of this product?
2. What are they doing now without this product?
3. How will they benefit from this product? (List two or three specific benefits.)
4. Who else might benefit from this product? *

Current Activities
In 150 words or less, address the following:
1. What are your company's current activities?
2. Have you reached any significant milestones? *

Intellectual Property

1. If you have a technology-based product, were University of Michigan employees, graduate students, or resources (i.e. labs, funds, etc.) involved with the creation of or the research behind this technology? *

Yes No

2. If yes, are you working with U-M Tech Transfer?

Yes No

3. Please explain

Goals In 150 words or less, address the following:
1. What do you hope to get out your participation in the TechArb and/or Practicum? What goals are you expecting to achieve that will be assisted by the TechArb and/or Practicum?

Mentors

How many mentors/advisors/individuals are you interested in working with?

List the name and contact information of any mentors/advisors with whom you are already working with on this idea and/or that you would like to work with in the future (i.e. Faculty members, members of the local business community, etc.):