Plug and Play Entrepreneurship Program. Learn Entrepreneurship the Silicon Valley Way!

OLGA GRIGORYEVA
Entrepreneurship Program Director
Telephone: 408 524-1413
Fax: 408 773 - 8462
Email: olga@
plugandplaytechcenter.com

CANDACE DENTON
Corporate Development Manager
Telephone: 408 499-8930
Fax: 408 773-8462
Email: candace@
plugandplaytechcenter.com

PLUG AND PLAY STRATEGIC PARTNERS

APPLICATION FOR ADDMISSION 2010

LEARN ENTREPRENEURSHIP THE SILICON VALLEY WAY!

4 DAY ENTREPRENEURSHIP ACADEMY

All submissions due by April 15th, 2010 @ MIDNIGHT

Before processing an application $50.00 admission fee is required. It could be waived under special circumstances. If you feel you have the need to waive the fee, contact Olga Grigoryeva at olga@plugandplaytechcenter.com - Entrepreneurship Program directly.

The comments below assist the admissions committee in evaluating the applicant's background and suitability for this program.

- - - - GENERAL INFORMATION - - - -
Prefix*
First Name*
Middle Name
Last Name*
Gender
Email*	Please include complete email address.
- - - - JOB INFORMATION - - - -
Job Title*
What function best describes your position?*
Company/Organization Name*
Business Address*
City*
State/Province*
Postal Code*
Country*
Business Phone*	Please include country code and area or city code.
Business Fax	Please include country code and area or city code.
Website Address
Number of Employees/Staff*