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ignitor | Registration
Registration
Name
*
Name
First
First
Last
Last
Email
*
Phone
*
I would like to be considered for your next ignitor program
*
YES, I would like to be part of the ignitor program
No, I am not interested in ignitor
Not sure, please send me more information
Why are you interested in ignitor?
*
I have an idea
I have a product
I can help
Choose the category that best describes you
*
Community Innovator / Entrepreneur
Student
Faculty
Investor
Mentor
What topics are you able to help with? Please choose all that are relevant to your expertise.
Ideation
Customer discovery
Prototyping / User experience
Crafting a brand story / Pitches
Business strategy
Other
Desktop Users: Select multiple by holding down the ‘Command’ or ‘Windows’ key while clicking answers
What other help would you like to provide to this program?
What problem are you solving?
*
Describe your idea or product
*
Industry
*
Describe the space your idea would fit in or the industry you are currently working in.
Have you filed a patent?
*
Yes
No
Not Applicable
How did you hear about this program?
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Other
Ethnicity
*
Hispanic or Latino
Not Hispanic or Latino
Prefer not to say
Race
*
Alaska Native
Native American
White
Hispanic
African American
Asian
Prefer not to say
Other
Other
Would you like to opt-in to share your information with the local entrepreneurial ecosystem?
*
Allow
Do not allow
Email, name, and industry would be shared to help provide access to programs that may be useful to you as well as inform these local programs that you are an innovator in the area and send you relevant updates.
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