CENTER FOR ENTREPRENEURSHIP :: UNIVERSITY OF MICHIGAN

Provost-Funded Center for Entrepreneurship Jump Start Grants
Common Application Form*

Company Name: *

A. Team Information

Number of team members: *

Team member 1 name: *

Team member 1 e-mail: *

Team member 1 UMID: *

Team member 1 school: *

Team member 1 major: *

Team member 1 class level: *

Team member 1 entrepreneurial skills: *

Team member 1 role/title: *

Brief Description of Company and Business Model: *

Describe your company’s mission, product, and business model. Talk about how it is scalable, disruptive, and will benefit society.

Market Need: *

Describe the market need that your company addresses, what you have done to validate this need, and the companies and products already addressing this need.

Is this project or company associated with any University of Michigan course(s) (i.e. Social Venture Creation, Entrepreneurship Practicum, Smartphone Programming, etc.)? *

UM Association? *

No Yes

B. Grant Information

In the table below, please indicate the type(s) of CFE Jump Start Grants for which you are applying, and the dollar amount you are soliciting for each grant type.

CFE Travel Grant

CFE Legal Services Grant

CFE Prototype Development Grant

CFE Spark Bootcamp Grant

C. Allocation of Funds

In the table below, indicate how the funds should be distributed amongst the team members:

Team Member

Travel Grant

Legal Services Grant

Prototype Development Grant

Spark Boot Camp Grant

Total

0.00

Grand Total $

0.00

Note: An individual student may receive no more than $1,000 in Jump Start Grants per fiscal year (July 1-June 30).

D. Budget Proposal

Using the table provided, detail the anticipated expenses for each grant type. For example, if you are requesting a travel grant, anticipated expenses might include: airfare, transportation, lodging, food, etc.

Expense Category

Amount Requested ($)

Justification

Total

$ 0.00

E. External Funding

Using the table provided, detail the funding you have requested or received from other institutions in support of your project.

F. Funding Justification

Impact of Grant: *

How will this award significantly and positively impact your entrepreneurial development and/or advance your entrepreneurial idea

Objectives and Milestones for Funding: *

Describe the goals and the milestones for this funding, and the time frame in which you anticipate achieving them

H. Faculty Reference

Please list the names and email addresses of up to 3 faculty members (1 minimum) who can recommend you for this grant. Ask one of your recommenders to write a brief letter of support on behalf of your team, idea, and funding request, and upload the letter below.

Faculty Recommender Name: *

Faculty Email: *

Letter of Recommendation: *

Faculty Recommender Name:

Faculty Email:

Letter of Recommendation: