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Tell us about yourself!

1. Complete this short form as the first step of your ºÚÁÏÂÛ̳ Venture Cup Wildcards application. Once submitted, you will be directed to Startup in a Box to complete the next stage of your application. Please use the same email address on both platforms.
2. First name*
3. Last name*
4. Gender*
5. Email*
6. Mobile number*
7. What is your association with ºÚÁÏÂÛ̳? – Please select – ºÚÁÏÂÛ̳ student ºÚÁÏÂÛ̳ staff ºÚÁÏÂÛ̳ alumni No connection with ºÚÁÏÂÛ̳ Other
8. Please specify if you answer "other".
9. Which ºÚÁÏÂÛ̳ school or area are you part of? – Please select – Business, Law and Entrepreneurship Design and Architecture Engineering Health Sciences Science, Computing and Emerging Technologies Social Sciences, Media, Film and Education Vocational Education and Training Innovation and Enterprise None Other
10. Please specify if you answer "other".
11. Which Venture Cup Wildcard category are you applying for? – Please select – Social impact Student and early-stage ventures Final year students
12. How many people are in your team?*
13. Details of all additional founders (full name, email and ºÚÁÏÂÛ̳ association)
14. Do you or any of your co-founders identify as Aboriginal or Torres Strait Islander?
15. Do you or any of your co-founders have a disability that may require adjustments or support when participating in the program?
16. How did you hear about Venture Cup Wildcards? – Please select – LinkedIn ºÚÁÏÂÛ̳ Innovation Studio email On Course ºÚÁÏÂÛ̳ student newsletter Viva Engage Other

17. Security Code:

    
    
    
18. Enter Security Code:*