Submit by Email Print Form
The UIC - Center for Urban Business/ILSBDC
Entrepreneurial Student Team Program (ESTP)
APPLICATION FORM (Page 1 of 2)
Your Name ___________________________________________ Today's Date ______________
Title / Position _____________________________________________
Company Name _______________________________________________________________
Mailing Address _____________________________________________________________________________
Work # __________________ Fax #________________ Mobile # ___________________
E-Mail Address _________________________________________ Website ________________________________
Name of primary contact for the project _____________________________________________
Title / Position _____________________________________________ Work# __________________
Fax #________________ Mobile # ___________________ E-Mail Address ___________________________________
1) Please type the full name of the program for which you are submitting a project. (If you want to apply for more
than one program, please submit a separate application for each program.)
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2) Please indicate what level of students you would like to work on the project.
Graduate Undergraduate No preference
3) If the level of students you selected above does not select the project you are submitting, would you still
participate in the Student Team Program if the other level of students were to select your project? (Please
circle one of the following.)
Yes No
4) How long has your company been in business? Years ____ Months______
5) Number of employees {including the owner(s)}: Full-Time ____ Part-Time____
6) What type of business do you have? (Check all that apply)
Advertising Distribution Manufacturing
Apparel Education/Seminars/Speaking PR/Communications
Auto Repair Entertainment Real Estate
Child Care Provider Events Meeting Planning Retail Trade
Cleaning Service Food Sports
Computer Service Graphic Design Transportation
Construction Import/Export Wholesaler
Consulting/Coaching Other ________________________
7) Brief description of your company. If you have multiple companies or divisions, only focus on the
company/division that is relevant for the student team project. ______________________________________
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8) What are the information gaps that you have relative to the project? __________________________________
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The UIC - Center for Urban Business/ILSBDC
Entrepreneurial Student Team Program (ESTP)
APPLICATION FORM (Page 2 of 2)
9) Once you receive this information from Student Team, how will this benefit you? What milestone will this
help you accomplish? ________________________________________________________________________
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10) What is the ‘drilled down’ main question that you expect the end-deliverable to answer? _________________
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11) What would you like the deliverable to ‘look like’? _________________________________________________
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12) What is the tentative title/name for the project? ____________________________________________________
13) Consulting projects typically last 10 to 12 weeks out of a 16-week semester. Does this seem like a feasible
amount of time for the student consultants to work with you and your company? Yes No
14) Approximately, what were and will be your annual sales for the following years?
2003 $_____________ 2004 $_____________ 2005 $ ___________ 2006 $_____________
2007 $____________ Projected 2008 $____________ Projected 2009 $____________
15) How did you hear about the UIC Entrepreneurial Student Team Program?
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Please complete the other attachment titled “Request For Counseling Form” (RFC) Applications missing any
information from above or without completed RFCs will NOT be considered for the Entrepreneurial Student Team
Program.
Submit your completed application via fax (312) 355-3604, or via e-mail at sbdc@uic.edu and write ESTP in the
subject line of the e-mail or the fax.
Applications may also be mailed to:
UIC-Center for Urban Business
Attention: Camelia Williams
815 W. Van Buren, Suite 320 (MC 090)
Chicago, IL 60607
For more information about the UIC Center for Urban Business/ILSBDC call (312) 413-4478 or visit www.uic.edu/cba/cub