Application Form Application Family Name*First Name*Do you live in Bangalore?*YesNoIf not, list areaAreaPhone*Email* Age*Year of Birth*Gender*MaleFemaleEducation*(Highest grade or degree completed)Work historyList your significant work or business experiences, with name of company, company products and services, size of company, dates of employment and a clear description of your responsibilities and accomplishments. Include work in government or non-profit jobs. Include part-time jobs you did when you were a student.Current WorkWhat is your current job or business? How many hours do you work per week?Tell us about yourself*Describe your family, your life experiences, your interests, and your dreams (no more than 250 words)What have you done that is entrepreneurial?*(no more than 250 words)What is important to you?*(no more than 100 words)What are your goals?*(no more than 100 words)What accomplishments are you most proud of?*(no more than 100 words)Why do you want to join this program*This program is for people who want to start and grow businesses. Why do you want to do that? (no more than 100 words)Will you be able to get to and from our location each Saturday?The training will be offered from 9:00AM to 4:00PMYesNoHow will you fit the program timing into your schedule?*The training program requires 20-30 hours per week of your time for 14 weeks, counting both class time and out of class projects.The training program will be taught exclusively in English.Choose your level of proficiency, where, 1. I know English so well that I can be an interpreter or translator 2. I know English well, but not well enough to serve as an interpreter or translator 3. I know English at a basic level 4. I need an interpreter to communicate with an English speakerUnderstanding spoken English1234Speaking about business topics in English1234Reading about business topics in English1234Writing about business topics in English1234How did you know about this program?*References*Provide names, titles, and contact information (telephone and e-mail) for two people who know you well and can attest to your character, accomplishments, and motivation to be an entrepreneur.
