Boot Camp Registration

Thank you for your interest in the Technology Start-Up Boot Camp. To register for this event, please complete all of the fields below and press the submit button.

Academic Status:	Faculty Graduate student Hinman CEOs student Staff
Name:
Title:
University:
Department:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone Number:
E-mail:
Are you currently considering starting your own company?	Yes No
Within what time frame?	Within the next six months Within the next year No current time frame
Would you like to receive more information about entrpreneurship activities at the University of Maryland?	Yes No
Research Interests (optional):
For a record of your registration, print out this completed form after submitting it. If you find, at a later date, that you cannot attend this event, please e-mail Karen Thornton, at karent@eng.umd.edu. Space is limited and interest is high.