First and Last Name:      

Organization (if applicable):      

Your Title (if applicable):      (ex. President, CEO, Founder)

Email Address:      

Confirm Email:      

Telephone Number:      

Website (if applicable):      

Address1:     

Address2:     

City:        State:   Zip:


Type of service(s) you provide? (check all that apply)

graphic deisgn advertising web design marketing legal services

financial services business plan consulting

strategic planning human resources

risk management logistics operations planning

other:

Tell us a little about yourself:

UNCG student UNCG faculty/staff   UNCG alumni

non-UNCG student non-UNCG faculty/staff

Self Employed Retired


Do you have a portfolio available? yes no

 Is there anything else you'd like us to know?       


    Note: You will not receive automatic email confirmation after submitting this form.

Thank You for your interest in the North Carolina Entrereneurship Center @ UNCG. We'll be in touch!
As always, if you have questions or if you would like additional information, please do not hesitat to contact us.

The following information must be emailed separately from this form.

Please email your resume to entrepreneur@uncg.edu with “YOUR NAME – supplier resume” in the subject line.  If you have a personal portfolio available, please include it in this email.

To be considered for volunteer services you must provide 2-3 professional references. Please email references to entrepreneur@uncg.edu with “YOUR NAME – supplier references” in the subject line.

Please include the following information for your references:
First and Last Name
Name of business (if applicable)
Telephone Number
Email Address
How do you know this person or what type of work/service did you provided in the past?