DEPARTMENT OF BUSINESS ADMINISTRATION
EWC ENTREPRENEURAL WORKSHOP SERIES WITH
U.S. SMALL BUSINESS ADMINISTRATION (SBA) Application for Admission Form APPLICANT INFORMATION
Last Name:
STUDENT #:
M.I.:
First Name:
Street Address:
Apartment #:
City:
State:
Email:
Male
Phone #:
ZIP: Female
Why did you choose to participate on the Entrepreneurship Workshop Series?
HIGHEST EDUCATION
High School
Yes
N0
Bachelor Yes
N0
EWC STUDENT
Yes
CLASSIFICATION
Freshman Sophomore Computer Information Systems
Masters Yes
N0
Doctorate Yes
N0 Junior
Senior
DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. Even if this application is accepted, I understand that false or misleading information in my application may result in cancellation of admission. Return Form to: fikeokwu@ewc.edu
Phone: (904) 470-8134 or (904) 470-8133
Date
Signature of Applicant:
OFFICE USE ONLY – DO NOT WRITE BELOW Decision Application Accepted
Yes
N0
Application Deferred
Yes
N0
Application Denied
Yes
N0
Signature of Chairman: Dr. Francis Ikeokwu, Sr.
Date
N0