Entrepreneur Institute of Mid-Michigan > Home

Name*

Address*

City*

What is your Annual Household Gross Income?*

How many people reside in your household?*

What type of business would you like to start? If existing business what type of business? (10 words or less)*

If new business, have you done any research on your business idea?

If existing business number of years in business?

If existing business are you planning to expand/grow your business? If yes have you written a plan for the expansion/growth?

Phone Number

Email Address

I hereby attest that the information I have provided above is correct and subject to verification.*

* Required

Scholarship Application