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Protected: Jump Start Kansas Application

Please complete the entire application to be considered for this competition. Applications are due by the close of business on January 25, 2012 at 5 p.m.

* Required fields in bold.

Contact Info of individual or team leader

Name:
Address:
City:    State:    Zip
Phone: (cell or home) ( ) -    
E-mail:
High School:    Grade:
Date of Birth:   
Parent info required if under 18
Parent: Name:    
  Email :    
  Phone: ( ) -
Faculty Mentor: Name:    
  Email :    
  Phone: ( ) -

 

Team Members (optional)

MEMBER #2 [ open | close ]
MEMBER #3 [ open | close ]
MEMBER #4 [ open | close ]
MEMBER #5 [ open | close ]

 

The Idea

Title:
(10 word limit)

80 characters left
Category:



Description:
(365 word limit)

2200 characters left

Customers/
Stakeholders:
Who will buy your product or service if a commercial venture or use your service if a social venture?
(125 word limit)


750 characters left

Competitors/
Partners
:
- What other ventures will you be competing with for market share? Who might you partner with to bring it to life (particularly if it's a social venture).
(125 word limit)



750 characters left

Social Benefit:
(125 word limit)

750 characters left
 
I(we) verify that this submission is my(our) own original work.
 

 

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