Entrepreneurship Garage Membership Application
Personal Information
First Name
Last Name
Preferred Name
Unity ID
Student ID #
9 digit student ID #; do not omit zeros.
Email
Must use NC State email.
Academic Information
Status
Undergrad
Grad
College
Please select...
College of Agriculture and Life Sciences
College of Design
College of Education
College of Engineering
College of Humanities and Social Sciences
College of Natural Resources
Poole College of Management
College of Sciences
College of Textiles
College of Veterinary Medicine
Graduate School
University College
If you are a graduate student, please select "graduate school."
If you are affiliated with more than one college, select the second here:
Please select...
College of Agriculture and Life Sciences
College of Design
College of Education
College of Engineering
College of Humanities and Social Sciences
College of Natural Resources
Poole College of Management
College of Sciences
College of Textiles
College of Veterinary Medicine
University College
If you indicated "graduate school" above, please select a college here.
Do you meet the university's minimum requirement for good academic standing?
Yes
No
Required for membership
Garage Access
How do you plan to use the Garage space?
Starting a new venture
Joining a new startup/ networking with entrepreneurs
Need a place to develop my idea
Learning about entrepreneurship
Enrolled in a course that requires it
Other
Select all that apply.
If you selected "other," please explain
Select all that apply.
How did you hear about us?
Please select...
Albright Entrepreneurs Village Resident
Class Announcement
Email
Entrepreneurship Event
Faculty/Staff
NC State Entrepreneurship Website
Referred by Member
Workshop
Other
If you selected "other", please explain
Select all that apply.
I understand that I will also have to attend a required virtual orientation to receive Garage access and this process can take up to one week.
I agree
I understand that by filling out this form I will be added to NC State Entrepreneurship’s "Entreprenews" newsletter. I may opt out of it at any point.
I agree
The Garage operates under the Special Program Exemption (section 5.3) of the NC State Patent and Tangible Research Policy as a program specifically designed to promote student innovation and entrepreneurship. This exemption guarantees that intellectual property created by students in the Garage is owned exclusively by the students. Activities related to sponsored research, contracts, or any works for hire are not covered under the exemption and may not be carried out in the Garage.
I agree
Conduct History
I give the Garage staff permission to check my disciplinary history and academic transcript for the application process as well as any subsequent semester of involvement. I authorize the staff to solicit any pertinent information from NC State University administrators, staff or faculty.
I agree
Do you have an academic integrity violations filed with the university?
Yes
No
Please describe your academic integrity violation.
Do you have any on or off-campus conduct offenses?
Yes
No
Please describe your conduct offense.
Contact Information