M.I.C.E. - Meszaros International Center for Entrepreneurship

Entrepreneurship Training Program (ETP)
Enrollment Application

Class will take place at the UB North Campus on Saturday mornings from 9:00 AM - Noon.
Classes are scheduled to begin the second week of October. Holidays will be observed. Upon acceptance into the program, you will receive a detailed schedule of class meeting dates.

To apply for this program, complete the following form or download our enrollment application

Fields marked (*) are required

Your Information

First Name *

Last Name *

Email *

Confirm Email *

Phone Number*

Date of Birth

Address *

City *

State *

Zip *

Your School Information

High School Attending *

List the courses and grades you have earned in business, English, and math. (Your grades have no bearing on acceptance into the program. This information will be used to form groups in class)

A Bit About You

Please list your strenghts. (Not necessarily acadamic)

Please list your weaknesses. (Not necessarily acadamic)

Why do you want to take this course (very important)? (50 words or less)

Do you qualify for a free or reduced lunch?
Yes
No

Parent/Guardian information

Parent / Guardian Name *

Confirm Parent / Guardian Name *

Yes, my parent or guardian is aware of my interest and approves of my participation in the MICE program

Please have a teacher or counselor provide a letter of recommendation and mail it to:
MICE Foundation Inc., PO Box 1087, Buffalo, NY 14221

Tuition is $150 for the program. A limited number of scholarships are available based on financial need. Please see your counselor for more information.

Your IP address will be recorded as: 38.103.63.58

www.mice-us-foundation.com

M.I.C.E. - Meszaros International Center for Entrepreneurship

Entrepreneurship Training Program (ETP) Enrollment Application

Entrepreneurship Training Program (ETP)
Enrollment Application