Completed Form to

Similar documents
Enrollment Application

To inspire and prepare young people to succeed in a global economy

2016 Bowdoin Summer Art Camp Registration

Wesleyan Pre-College Access Program

PARTICIPANT APPLICATION Page 1 of 3 Revised September 2015

TEXAS ENGINEERING FOUNDATION Scholarship Application for Graduating Texas High School Seniors

PROGRAMS 2016 EXPLORE

Just The Beginning A Pipeline Organization Summer Legal Institute D.C.-Maryland-Virginia

HealthCareers. Discovery Camp. Post Acute Medical Specialty Hospital Corpus Christi, TX June 17 & 18, Application Packet

Camp Culinaire. Camp Dates June 22-24, :30 5:30 p.m. each day

Certified Peer Counselor Training Application

2016 Summer Workshop Application

SCHOLARSHIPS FOR SONS/DAUGHTERS OF MEMBERS

Program Application

COMMUNITY FOR NEW DIRECTION PARTICIPANT REGISTRATION FORM

Illinois Restaurant Association Educational Foundation Scholarship Application. Application Deadline: 4/29/2016

Wallace Community College Dual Enrollment Program Application

Education. Date of discharge (if applicable) [Required] Total number of service years. [Required] Total years and months active duty

PROJECT EXCEL MENTORING PROGRAM Creating Vision Through Mentoring / What They See is What They Will Be

Sign-up students NOW!

Application for J.D. Admission

AETNA HPPI ACADEMY PROGRAMS APPLICATION

TRAVELING PHOTOGRAPHY WORKSHOP APPLICATION

ASPIRE Program. Application Checklist

YSP CONTINUING MENTORING PROGRAM

How To Get Into An Evit Cosmetology Program

[Class Survey for Statistics/Sociology/CSSS 221]

Return COMPLETED Packet to Confirm Singer s Registration Registration Fee: Grades 2 3, $35 Grades 4 12, $40 MET Singers Season: August 2014 May 2015

EXCEL PROGRAM STUDENT APPLICATION

PROGRAM APPLICATION FOR GATEWAY TO COLLEGE ADMISSION

Date: Student s Name DOB / / Age!!! (First)!! (Middle)!! (Last) Preferred name. Student s School Grade Level Dismissal Time

Community House High School Programs Standing with families since 1969

1000 Urban Scholars Application Application Deadline: February 2015

Kids College Conducted at Michigan State University July 6-17, Weekdays from 8:30 11:30 am. Sponsored by:

Application for Admission. Office of Admissions P.O. Box 352 Crawfordsville, Indiana Phone: Fax:

YOUTH MENTORING PROGRAM. Mentee Application (To Be Completed by the Parent/Guardian)

Texas 4-H Member Enrollment Form 4-H Year:

Application for Admission. Office of Admissions P.O. Box 352 Crawfordsville, Indiana Phone: Fax:

Saint Francis Medical Center College of Nursing Peoria, Illinois. Doctor of Nursing Practice. Application for Admission

2015 Summer Fun Classes Keyboarding on the PC

CAREERS THROUGH CULINARY ARTS PROGRAM (C-CAP) COOKING COMPETITION FOR SCHOLARSHIPS Preliminary Application and Instructions

Nursing Scholarship Program High School Seniors & College Nursing Program Applicants

Thursday, July 9th, 2015 and Friday, July 10th, 2015 from 7:30 AM to 5 PM

Nursing Scholarship Program High School Seniors & College Nursing Program Applicants

Application for Housing

2013 ENVIRONMENTAL LITIGATION GROUP (ELG) SCHOLARSHIP POLICIES SUBMISSION DEADLINE: MARCH 1, 2013

RESEARCH APPRENTICESHIP PROGRAM FOR HIGH SCHOOL STUDENTS (RAP)

VTCA Transportation Engineering Scholarship

RARITAN BAY AREA YMCA

Application for the 2016 High School Law Camp June 13th, 2016 July 1st, 2016

Washington State Association Of School Psychologists. MINORITY SCHOLARSHIP PROGRAM (2015) for Graduate Training in School Psychology

Educational Talent Search

Texas Engineering Foundation

Questions or requests for further information can be directed to Daughters Love Foundation.

The College Credit Plus Program (CCP) at Franklin University

Are you planning to apply for a counselor-approved fee waiver? Yes No Are you applying for financial aid? Yes No

Please complete this form and send it in with your completed Application Form and supporting credentials. Signature Date

Basic Application. Excel Leaders Program Fall Last First Middle. City State ZIP Code. City State Month/Day/Year

College Name Regular Decision Early Decision Restrictive Early Action Early Action I am applying for the term beginning

Master of Science in Nursing

Application Packet. APPLICATION PACKET Juniors..Want to study engineering at the University of Washington? Application Deadline: March 28, 2016

Panama: Beyond the Classroom Application for Participation

2016 YMCA Camp Onyahsa Financial Aid/Scholarship Application

Rhode Island School Psychology Minority Scholarship Program

INSTRUCTIONS FOR APPLICATION

DOCTORAL PROGRAM ADMISSIONS OFFICE 1255 Amsterdam Avenue, Room 919 New York, NY Telephone: (212)

MBA for Professionals

TRANSFER STUDENT APPLICATION

2013 Health Careers Summer Camp Application Checklist

EVIT COSMETOLOGY & AESTHETICS PACKET

Enrollment Forms Packet (EFP)

Release of Liability. Printed Name of Participant:

Virtual Worlds (e.g., Second Life)

LULAC - NISSAN Scholarship Application

Vivian Leitner Global South LL.M. Scholars Program

READINESS. htp:/apps.bexar.org/electionsearch/electionsearch.aspx?psearchtab=3

Application must be filled out for interview consideration, resumes may be attached.

Yehawali. Nurturing Our Future. Native Youth Conference. University of Washington, Seattle. February 14-16, 2014

CHAMPAIGN COUNTY NURSING HOME VOLUNTEER INFORMATION FORM

Application for Admission Master of Health Sciences in Clinical Leadership Program Duke University School of Medicine

Student Board of Directors Application Packet

U.S. Department of Education TRiO Programs Upward Bound Math and Science Fact Sheet (2015)

2014 Fort Worth Regional Science and Engineering Fair, University of Texas at Arlington, RadioShack. Media Release Form

without a signed waiver Santa Fe, NM Fax: Student Name: City: Zip: State: Physician's Name: Parent Name(s): Parent Address: City:

TRIO Student Support Services

FRESHMAN APPLICATION FOR ADMISSION

Y O U T H L E A D. Summer U LEAD Program Application

White Earth Early Learning Scholarship Program Information about the program Household Size Gross income How to complete the application:

SAMPLE APPLICATION

Students will have an instructor of record for this course. The instructor s requirements include:

GORRONDONA SCHOLARSHIP: Promoting Young Women in Transportation

University of Georgia Honors Program

Certified Peer Counselor Training Application

Thank you for your interest in volunteering at Trinitas Regional Medical Center.

1. General Information

APPLICATION FOR TESTING AND SUBSEQUENT CERTIFICATION AS A CERTIFIED MIDWIFE (CM)

Cyber Defenders Summer Camp Application Form Instructions

EARLY COLLEGE ADMISSIONS APPLICATION. You can get anywhere from here.

California State University, Fullerton CSU Scholarship Program for Future Scholars

MASTER OF EDUCATION (M.ED.) IN SPECIAL EDUCATION AT REINHARDT UNIVERSITY

Transcription:

The BizFest Youth Entrepreneurship Competition is an innovative and intensive program that empowers youth with knowledge and insight into the world of business. This 3 day concentrated workshop teaches high school students how to turn hobbies into profitable business ventures, offers hands on practical training for aspiring entrepreneurs and reinforces a proactive attitude and encourages students to stay in school, go to college and become future business leaders of this country. Delivered by the University of Texas Pan American (UTPA), BizFest is a signature program of the USHCC Foundation. The BizFest curriculum focuses on two critical components leadership development and entrepreneurship training. During the leadership development portion of the training, students must assess and evaluate their attitude, level of commitment, discipline and other personal traits in relation to achieving success in life and business. As students go through the academic component, they develop a viable business idea and business plan, which is then presented to a panel of judges. The 2015 Regional BizFest Competition will take place in the Washington, DC Metro Area. The deadline to apply is February 24, 2015. Eligibility You must be enrolled in a high school located in the Washington, DC Metro Area. Must be a freshman, sophomore or junior in high school at the time of the program. Commitment to attend all three days of the training March 20-22 nd, 2015. Selection Criteria Clarity and quality of written statements Willingness to learn more and receive feedback Interest in entrepreneurship as shown in statements The top three winners at the Regional competition win Google Chromebooks and are invited to participate in the National Competition at the USHCC Annual National Convention in September. The top three winners at the National competition will receive a scholarship for college. The USHCC Foundation covers all costs associated with travel, meals and lodging. o First Place: $5,000 o Second Place: $3,000 o Third Place: $1,000 Email Completed Form to cflorentino@ushcc.com The applications will be submitted to a selection committee that will review them and you will be notified via phone or email if you are selected to participate in the program. Only students with completed applications will be considered.

BIZFEST YOUTH ENTREPRENEURSHIP COMPETITION APPLICATION I. Applicant Information Applicant Name: Date: Address: (Street) (Apt) (City) (State) (Zip) Home Telephone: ( ) Cell Phone (if applicable): ( ) Email Address: Race and/or Ethnicity (for tracking purposes only) Check as many apply: American Indian or Alaskan Native Asian Black or African American Hispanic Native Hawaiian or Other Pacific Islander White Unknown Name of High School: State/County: Student Level (select one): Freshman Sophomore Junior Senior Date of Birth (mm/dd/yy): Please rank the order of your interest in the following career study areas (1 being the highest and 6 being the lowest in preference. Marketing/Sales Mathematics Engineering/Manufacturing Finance/ Accounting Information Technology Other (please specify) II. Parent/ Guardian & Family Information Parent/Guardian Name: Relationship to you: Home address: (Street) (Apt #) (City) (State) (Zip) Home Telephone: ( ) Work Telephone: ( )

Employer: Secondary Contact Name: Relationship to you: Home Address: (Street) (Apt #) (City) (State) (Zip) Home Telephone: ( ) Work Telephone: ( ) Employer: III. Short Answers (Please limit your response to 150 words) Why are you interested in the USHCC Foundation BizFest program? What does entrepreneurship mean to you? Why?

IV. Financial Need National School Lunch Program (NSLP) (Free Lunch): do not receive or qualify to receive free or reduced lunch for the National School Lunch Program for the following reason: V. Additional Information Do you have any food allergies or dietary restrictions? If yes, please list them Please list any health concerns: Will you need special accommodations? VI. Participant Expectations Participation in all program activities: During the training, selected participants are expected to attend all scheduled events. Liability Waiver: Students under the age of 18 MUST submit a signed parental waiver. Please see waiver in Section VIII of this application. If a waiver is not attached to this application, please contact the USHCC Foundation for parental waiver at cflorentino@ushcc.com. Media Release: Students MUST submit a signed media/ copyright release. Please see waiver in Section VII of this application. Maintaining contact: Upon completion of the training, participants will be contacted in order to obtain information regarding the use of their educations and advice they may have for future participants. I,, hereby certify that I fully understand the terms of the BizFest Youth (print applicant name) Entrepreneurship Program and that the information provided in this application is truthful. Applicant Signature \Date I,, hereby certify that I support s (print parent/guardian name) (print applicant name) application for the Biz Fest Youth Entrepreneurship Program. I further certify that I understand the terms of the program and that the information in this application is truthful. Parent/Guardian Signature Date

VII. Photo, Interview, and Copyright Release Form for BizFest Participants I hereby grant to the United States Hispanic Chamber of Commerce of Foundation, permission to interview me and use my biographical data and/or my likeness in a photograph or video in any and all of its publications and in any and all other media, including its web site. I also grant the United States Hispanic Chamber of Commerce of Foundation the right to publish any of my writings that describe my experiences with the BizFest Youth Entrepreneurship Program. I grant the United States Hispanic Chamber of Commerce of Foundation these rights without any expectation of payment or other consideration. I understand and agree that these materials will become the property of the United States Hispanic Chamber of Commerce of Foundation and will not be returned. I irrevocably authorize the United States Hispanic Chamber of Commerce of Foundation to use any material described above for purposes of publicizing United States Hispanic Chamber of Commerce of Foundation programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness, biographical information, or written materials appear. I hereby hold harmless and release and forever discharge the United States Hispanic Chamber of Commerce of Foundation and its directors, officers, employees, benefactors, volunteers and agents from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other person acting on my behalf (or my estate s behalf) may have by reason of this authorization. Signature: Date: If the person signing is less than 18 years of age, there must be consent by a parent or guardian, as follows: I certify that I am the parent or guardian of, named above, and do hereby give my consent without reservation to the foregoing on behalf of this person. Signature of parent/guardian: Date: VIII. Liability Waiver The United States Hispanic Chamber of Commerce of Foundation, in collaboration and/or through its affiliated Local Hispanic Chamber of Commerce and/or corresponding corporate sponsors, will provide sponsorship for the student s breakfast and lunch, BizFest material and curriculum and BizFest business plan awards. It is required that each student, under the age of 18, selected to attend the BizFest must submit a parental waiver before the official opening of the BizFest. Signature: Date: If the person signing is less than 18 years of age, there must be consent by a parent or guardian, as follows: I certify that I am the parent or guardian of, named above, and do hereby give my consent without reservation to the foregoing on behalf of this person. Signature of parent/guardian: Date: Your signed permission serves as authorization and will also release the USHCC Foundation and its affiliates from any liability for the student during the above sponsored USHCC Foundation BizFest training program and event. Precautions will be taken to safeguard your student during the time at the USHCC Foundation BizFest. Please complete this permission form below and have your student return it to staff from the USHCC Foundation.

Letter of Excused Absence To Whom It May Concern: My child/dependent has been selected to participate in the United States Hispanic Chamber of Commerce (USHCC) Foundation Youth Entrepreneurial BizFest Competition on. BizFest Youth Entrepreneurship Competition is an intensive three-day workshop that aims to equip high school students with tools necessary to launch their own business, establish entrepreneurial and leadership goals, create plans for business and life, become effective leaders and team players, identify investment opportunities, and make public presentations. On the final day of the competition, students will present their business models to an audience of their peers, mentors, families, and greater community members. The top three presenters will qualify to participate at the BizFest National Competition in Washington, DC for scholarship funds. I fully support my child/dependent in the BizFest program and thank you for your understanding. I certify that I am the parent or guardian of, named above, and do hereby give my consent without reservation to the foregoing on behalf of this person. Signature of parent/guardian: Date: