1.First and Last Name

2.Phone Number

3.Email Address

4.Current School

5.Major/Area of Focus

6.What draws you to entrepreneurship, and why is now the right time for you to pursue this experience?

7.Describe a time that you faced a significant challenge or failure. How did you respond, and what did it teach you about yourself as a leader?

8.What excites you about learning directly from experienced founders in an immersive, real-world environment?

9.This is an intensive, hands-on experience with limited spots. Why should you be selected for this cohort?

10.Are you able to fully commit to attending the program in Scottsdale from April 16-19, 2026?

Yes

No

11.Is there anything else you'd like us to know about you, your journey, or your aspirations?