First Name Last Name Email Address College - Select -COLACOLSACEPSCHHSPaul CollegeGrad School Major(s) Year of Graduation Are you a grad student? - Select -YesNo Hometown & State Company/Idea Name Your comany title(s) Company Website Are you a Shaw Innovation Explorer? 1-2 Sentence Idea/Company Description What's the status of your company? What is your start-up/company professional title? Ex. CEO & Founder, Co-Founder, CTO, etc. Please provide a quote on how the ECenter helped you. Advice you'd share with a current UNH student who knows about and/or one who doesn’t know about the ECenter? If you've already graduated, are you working on your start-up/idea? - Select -YesNo If you've already graduated, are you working at a start-up? - Select -YesNo If you've already graduated, what are you doing now? Engagement at the ECenter (check all that are true): ECenter Ebassador (current or former) Used Cubex Co-Working Space Used Makerspace Makerspace Mentor Participated in i2 Passport Program Entrepreneurship Club Member Attended Idea Creation Bootcamp(s) Attended Other Bootcamps (Marketing, Sales, Finance, Legal, etc.) Attended Speaker Series Event(s) Participated in Hackathon(s) Won Hackathon(s) Applied to the Paid Student Internship at Start-ups Program (ECenter internship program only) Selected for the Paid Student Internship at Start-ups Program (ECenter internship program only) Applied to the Summer Seed Grant Won the Summer Seed Grant Applied to the Maurice Prize Won the Maurice Prize Idea & Innovation Society Member Applied to the Social Venture Innovation Challenge (SVIC) Finalist in SVIC Top Three in SVIC Applied to the Holloway Prize Competition Semi-Finalist in Holloway Finalist in Holloway Top Three in Holloway Nelson Poster Competition Prize Other Competition(s) Connected/Met with a Mentor Coached by the ECenter Participated in NSF I-CORPS ECenter Intern Idea & Innovation Society Selection Committee Maurice Prize Judge Spoke at Alumni Event on Behalf of the ECenter If you placed in the SVIC top three, what did you place and was it student track or community track? If you placed in the Holloway top three, what did you place? If you placed in the Nelson Poster Competition, what did you place? If you participated in another competition other than what was listed above, what was the competition? If none of the above fit for your ECenter engagement, please explain your ECenter engagement. Create your own #hashtag for how ECenter impacted you. Did talking about your ECenter experience help you in a job interview? - Select -YesNoN/A Are you interested in hosting an ECenter Instagram Takeover in the future? - Select -YesNo Instagram Handle Let us know your Instagram handle so we can tag you in your post! Upload your photo Upload a full-length photo (head to below the knees). Can be high-resolution phone photo. Choose a "power pose" and find a neutral background like a wall or door. Questions? Email genevieve.brown@unh.eduOne file only.2 MB limit.Allowed types: jpg, jpeg, png. Upload your company logo One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.