CERTIFICATE IN ENTREPRENEURSHIP
HBA 2015-16 APPLICATION FORM
Full Name (print):
Student Number:
Preferred Email Address:
1.
2.
Which industries / business sectors interest you, with respect to entrepreneurship?
_____
Agri-Business
_____
Health & Beauty
_____
Automotive
_____
Information Technology
_____
Bio-tech
_____
Investment Management
_____
Clean Tech
_____
Manufacturing
_____
Communications
_____
Mining/Resources
_____
Consulting
_____
Real Estate Development
_____
Engineering
_____
Sports/Fitness
_____
Entertainment
_____
Travel
_____
Financial Services
_____
Venture Capital/Private Equity
_____
Fashion
_____
Web-based
_____
Food Services
_____
Other:
_____
Franchising
_____
Health Sciences/Medicine
Ideally, when would you like to actively pursue an entrepreneurial career?
I have already ( ) launched / ( ) purchased a new venture.
I plan to ( ) launch / ( ) purchase a new venture:
_____
While at Ivey, concurrent with my HBA program studies
_____
Immediately upon graduation from Ivey
_____
Within 5 years of graduation
_____
Within 5 – 10 years of graduation
_____
Within 10 – 20 years of graduation
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CERTIFICATE IN ENTREPRENEURSHIP
3.
Are you a member of a business family? If yes,
Yes
No
Do you plan to return to the family business following your Ivey HBA?
Yes
No
Do you plan to launch an independent new business venture?
Yes
No
Company name:
Your role/title:
4.
Please answer the following questions in essay format. Do not exceed a combined maximum of
1,000 words.
a. Why do you want to enroll in the Certificate in Entrepreneurship?
b. In what ways do you plan to engage in entrepreneurship while at Ivey?
c. If accepted, what would you contribute to the learning of your classmates?
d. What do you believe to be characteristics of a successful entrepreneur?
The next series of questions (5 – 9) must be completed in full if you wish to be considered for an
Ivey Entrepreneurship Financial Scholarship award.
5.
Did you attend a publicly funded high school?
Yes
No
6.
Did you have AEO status in coming to Ivey?
Yes
No
7.
Are you currently enrolled in a Joint-Degree (i.e. HBA Engineering)
Yes
No
Yes
No
8. Do you have experience launching or operating your own business?
If you answered "Yes", please tell us briefly about your experience (200 words or less).
CERTIFICATE IN ENTREPRENEURSHIP
9.
HBA 2015-16 APPLICATION FORM
Discuss how you have demonstrated community leadership (i.e. work, school). Do not exceed a
combined maximum of 1,000 words.
10. Discuss a characteristic of a successful entrepreneur.
11. How have you contributed in the past to entrepreneurship at Ivey and/or the broader
entrepreneurial community?
12. How do you plan to give back to the entrepreneurship community, either upon graduation, or
currently as a student?
13. Attach your resume
14. Sign and submit per below:
___________________________________
Signature
Submit completed and signed Application Form, along with essay questions and resume to:
tgrzegorczyk@ivey.ca, by 1:30 pm on Thursday, March 26, 2015.
For more information, please contact
Tara Grzegorczyk, Program Coordinator
Pierre L Morrissette Institute for Entrepreneurship
Ivey Business School
Email: tgrzegorczyk@ivey.ca
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