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Registration
Team Name:
Team Leader's Full Name:
Team Leader's Email Address:
Team Leader's Phone Number:
Team Leader's affiliation to participating university
Current Student
Current Faculty
Current Employee
Recent Alumni (no more than 5 years)
Former Faculty (no more than 3 years)
Participating university:
Alabama A&M University
Alabama State University
Auburn University
The University of Alabama
University of Alabama at Birmingham
University of Alabama in Huntsville
University of South Alabama
Please provide a brief overview of the business idea (approximately two sentences):
Full Name for Team Member #2 (Optional)
E-mail address for Team Member #2 (Optional)
Full Name for Team Member #3 (Optional)
E-mail address for Team Member #3 (Optional)
Full Name for Team Member #4 (Optional)
E-mail address for Team Member #4 (Optional)
Full Name for Team Member #5 (Optional)
E-mail address for Team Member #5 (Optional)
Please check the box below to indicate your acceptance of the Alabama Launchpad Terms and Conditions
I have read and accept the Alabama Launchpad Terms and Conditions and certify that the proposed business meets these requirements. Further, I understand that I may be asked to provide information in later rounds of the competition to verify eligibility r
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