UAHuntsville – Junior Achievement Entrepreneurship Camp A Residence Camp on the Campus of UAHuntsville June 12-17, 2011 The UAHuntsville College of Business Administration and North Alabama Junior Achievement are joining together to offer an Entrepreneurship Camp June 12-17, 2011. This camp is a six day intensive experience designed for high school students who are considering careers in entrepreneurship and new business ventures. We want students to leave with an understanding of just how fun and challenging entrepreneurship can be! Students will be exposed to all aspects of planning and launching an entrepreneurial venture including -- recognizing opportunities, understanding customers and competition, determining how much money is needed to start and grow a business, building the start-up team – and other topics. Camp participants will work in teams – with each team planning the launch of a smart phone app – with the guidance of successful community entrepreneurs, leading faculty, and UAHuntsville Entrepreneurship Club student members. The week will conclude with a competition for best smart phone app and plan – with prizes and awards for the winning team. Quick Facts: The $250 total fee includes all housing, meals, and program materials for the Sunday through Friday program. Merit and financial need scholarships are available. Students will work in teams on a real new product opportunity, mentored by UAHuntsville Entrepreneurship Club student members and successful community entrepreneurs. UAHuntsville – Junior Achievement Entrepreneurship Camp Student Application June 12-17, 2011 University of Alabama in Huntsville College of Business Administration http://cba.uah.edu/jaapplication ELIGIBILITY: Must be a high school student that has completed at least one year of high school by June 11, 2011. Incoming high school freshmen and college freshmen are not eligible. IMPORTANT: The total fee for the program is $250.00, which includes on-campus lodging in new dorms, all meals, and all materials from Sunday afternoon, June 12th, through Friday afternoon, June 17th. A $50 non-refundable deposit (made payable to the University of Alabama in Huntsville) is required with this application with the remainder of payment due at check-in. (If the student is not accepted to the Entrepreneurship Camp, the parent will be notified and the check will not be deposited.). Merit based and need based scholarships are available. Student Application is due by May 10, 2011. If you have questions regarding the application call (256) 824-6736 or email Midori.Maloney@uah.edu. Application must be completed in full to be considered for the Entrepreneurship Camp. STEP 1: Complete this application, UAHuntsville will notify you of acceptance within one week. STEP 2: If you are accepted, you will receive an acceptance packet via email to fill out and return by May 15, 2011. STEP 3: You will receive any additional information via email. Arrive on Sunday afternoon, June 12th and get ready for a great week! PART 1: Student Information Name:____________________________________________________________________________ Gender : □ Male □ Female Street Address:___________________________________________ City______________________ State_______ Zip_________ Home Phone Number: ___________________________________ Cell Phone Number:__________________________________ Email:_________________________________________________ Age:_____________________ Date of Birth: ______________________________ T-shirt Size: □ S □ M □ L □ XL □ XXL School Name:________________________________________________________________________________________________ Parent/Guardian Name:____________________________________________________________________________________ Parent/Guardian Phone:________________________________________ Email:_____________________________________ Year of school completed by June 2011: □ Freshman □ Sophomore □ Junior PART 2: Tell a Friend (optional) If you want your friend to know about the UAHuntsville Junior Achievement Entrepreneurship Camp, fill this out! (Information will not be sold or shared). Name:______________________________________________________ School Name:_________________________________ Email Address:_______________________________________________ Phone Number:________________________________ PART 3: Short Essay Please answer the following questions to the best of your ability. Answers should be approximately 4-5 sentences. 1. What is entrepreneurship and why is it important to society? ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ____________________________________________________ 2. Why is entrepreneurship interesting to you? Entrepreneurship Camp? Why do you want to attend the UAHuntsville Junior Achievement ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ Part 4: Reference To the student: Please have an adult, other than a parent or guardian; complete this portion of the application. Your reference can come from a teacher, coach, employer, volunteer supervisor, or another adult who knows you well. To the reference: Please complete all the requested information below. Your reference is important in helping us select students who will enjoy their time and be successful at the UAHuntsville Junior Achievement Entrepreneurship Camp. Name:_________________________________________________ Relationship to applicant:__________________________ Phone Number:_______________________________ Email:______________________________________________________ Has this student shown a sincere interest in the Entrepreneurship Camp program? □ Yes □ No Is he/she academically capable of participating in a challenging program? (GPA is not a consideration; however the program does require a strong work ethic as part of a team.) □ Yes □ No Should we consider this applicant for a merit scholarship based on exceptional academic (GPA or ACT) or leadership performance? If so, please explain below and provide additional documentation, as needed. □ Yes □ If so, please attach an additional page documenting performance and your recommendation. No Will this student be a fine representative of his/her school and community? □ Yes □ No Is there any history of disciplinary actions that you are aware of? □ Yes □ No If yes, please explain: _________________________________ _________________________________ Please share any additional information that would be helpful in evaluating this student: ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ Signature:____________________________________________________ Date:______________________________________ PART 5: Scholarship Application UAHuntsville,, Junior Achievement, and their sponsors are dedicated to making certain that all individuals, regardless of their financial situation, are able to participate in this program. Scholarships are available for qualifying students. To be considered for a scholarship, please complete the following additional sections for those scholarships that are of interest to you. Confidentiality Statement: All information received by UAHuntsville will remain strictly confidential and used only in determining scholarship eligibility. In applying for a financial need scholarship, the form should be completed by the applicant’s parent or guardian. Please type your responses or print legibly. Completed forms should be sent to UAHuntsville - Junior Achievement Entrepreneurship Camp, 202 Business Administration Building, College of Business Administration, UAHuntsville, Huntsville, AL 35899. FINANCIAL INFORMATION To the Parent/Guardian: Please provide all requested information: Applicant Name:____________________________________________ Parent/Guardian Daytime Phone Number:____________________ Email:___________________________________ Does your student qualify for the free/reduced lunch program? ___Yes* ___No *If yes, please attach documentation of enrollment in the free/reduced lunch program. If no, please complete the remaining questions to be considered for financial aid: Family’s Gross Annual Income:____________________ Number of Dependents (not including parent/guardian):____________________ Please describe any extenuating financial circumstances in the family: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ I understand that this financial aid request will be reviewed upon receipt. All information regarding my financial status is truthful and accurate to the best of my knowledge. I understand that financial aid decisions are made at the discretion of UAHuntsville and Junior Achievement and will be communicated to me via email within two weeks after receipt of this application. Parent/Guardian Signature:________________________________Date:__________________ Print Parent/Guardian name:_______________________________ PART 6: Student and Parent Information I understand that my application will be reviewed upon receipt. All information contained in this application is correct to the best of my knowledge. My $50 deposit is included with this application. I understand that upon acceptance to attend UAHuntsville Junior Achievement Entrepreneurship Camp, I will submit the remaining fee of $200 at check-in on June 12th. Student Signature:___________________________________________________________ Date:________________________ Print Student Name:_________________________________________________________ Parent/ Guardian Signature:____________________________________________________ Date:_________________________ Print Parent/Guardian Name:_________________________________________________ Return your completed application and $50 deposit by May 1, 2011 to: UAHuntsville - Junior Achievement Entrepreneurship Camp 202 Business Administration Building College of Business Administration UAHuntsville Huntsville, AL 35899