Entrepreneurship Outreach Network Application
Please fill out the following application and email your completed application to.
Each application must include a library collaborator and an economic development collaborator.
Part 1: Collaborators
Library Collaborator
Libraries may include public and private libraries, tribal libraries, college/university libraries and high school libraries. Museums may include public and private museums.
1. Legal Name of Library Applicant (please include full legal name, corporate suffix (i.e. llc, Inc.,) type of entity and state of organization):
Physical Address:
City:
State:
Zip:
Website URL:
2. Location of Applicant’s Network site:
Physical Address:
City:
State:
Zip:
Phone Number:
3. Please provide the following contact information for two individuals who will be the main points of contact for Applicant.
First Name:
Last Name:
Title:
Email Address:
Phone Number:
First Name:
Last Name:
Title:
Email Address:
Phone Number:
4. Please describe Library Applicant’s mission (max 100 words).
5. Please describe how Library Applicant intends to use the Network. (max 100 words)
6. Please describe any special considerations of Library Applicant. (max 100 words)
Economic Development Collaborator
Economic development collaborators may include SBA offices, municipal and regional economic development offices and boards, incubators, maker spaces, service providers, and chambers of commerce.
7. Legal Name of Economic Development Applicant (please include full legal name, corporate suffix (i.e. llc, Inc.,) type of entity and state of organization):
Physical Address:
City:
State:
Zip:
Website:
8. Location of Applicant’s Network site:
Physical Address:
City:
State:
Zip:
Phone Number:
9. Please provide the following contact information for two individuals who will be the main points of contact for Economic Development Applicant.
First Name:
Last Name:
Title:
Email Address:
Phone Number:
First Name:
Last Name:
Title:
Email Address:
Phone Number:
10. Please describe Economic Development Applicant’s Mission (max 100 words):
11. Please describe how Economic Development Applicant intends to use the Network. (max 100 words)
12. Please describe any special considerations of Economic Development Applicant. (max 100 words)
Part II. Entrepreneurship Outreach Network site plans.
13. Please describe Applicants’ plans to ensure Applicants’program will be successful. (maximum 150 words)
14. Please describe how Library and Economic Development Applicants will collaborate to create and/or maintain a successful program. What is each organization’s role? What will each organization provide? (maximum 250 words)
15. Please describe why Applicants believe entrepreneurs and aspiring entrepreneurs in Applicants’ community need a Network site. (maximum 150 words)
16. Please describe how Applicants have successfully engaged diverse communities in the past and how Applicants will engage diverse communities at the Network site. (maximum 150 words)
17. What are your plans to display Network signage? (If you have a budget for signage, please include how much that budget is.) (maximum 100 words)
18. How will you evaluate success? What metrics will you use and how often will you evaluate your progress? (maximum 150 words)
Part III. Membership Levels and Annual Fees
ASU is dedicated to supporting student, faculty and community engagement in entrepreneurship and innovation. For Networkmembers, ASU will provide a menu of resources and services, suiting Network members’ needs. These are set forth on the Network’s website, and are subject to change from time to time. Key features of Networkmembership include an annual conference for Network members to share best practices and learn about new developments. In addition, Networkmembers will have access to ASU’s Startup School continuing education entrepreneurship training and certifications.
- I understand Arizona State University’s commitment to the success of each Network site.
Current annualNetwork membership fees and services are as follows:
Membership Level / Annual Fee / ServicesSpark Membership / $0 /
- Access to Startup School entrepreneur training course online
- One pass to the annual Network conference
- One pass for Startup School Stage 1 facilitator training
Maroon Membership / $500 /
- Access to Startup School entrepreneur training course online
- Two passes to the annual Network conference
- Two passes for Startup School Stage 1 facilitator training
Gold Membership / $1,500 /
- Access to Startup School entrepreneur training course online
- Four passes to the annual Network conference
- Two passes for Startup School Stage 1 facilitator training
- Two passes for Startup School Stage 2or Stage 3 facilitator training
19. Please select the membership level appropriate to Applicant:
- Spark
- Maroon
- Gold
20. Are you interested in consideration for a grant-sponsored Gold membership, when available? Grant funding would make the Gold membership free to the site for one year.
- Yes
- No
If you select a Maroon or Gold membership, ASU will send you an invoice to pay membership fees. Payment will be due 60 days after they are sent.
Part IV. Acceptance of Terms and Expectations
- Applicant has read and accepts and agrees to the terms and expectations of being a member of the Network
21. Name of person accepting on behalf of Library Applicant:
22. Title of person accepting on behalf of Library Applicant (must be an officer or authorized signatory):
23. Contact information for Library signatory:
24. Name of person accepting on behalf of Economic Development Applicant:
25. Title of person accepting on behalf of Economic Development Applicant (must be an officer or authorized signatory):
26. Contact information for Economic Development signatory:
ASU’s Office of Entrepreneurship + Innovation will review your materials and respond to your application within 10 working days.
Applicant’s annual membership will commence on the first day of the month following acceptance by ASU. After 11 months, recipients may complete a short evaluation report and renewal application.