CEI Intake Form

Fill out the following form prior to your first meeting with the Center for Entrepreneurship and Innovation. All fields are required.

First Name

Last Name

Primary Phone

Zip Code

Gender

UB Email

Personal Email

Year Born

Race

School Attending

Enrollment Status

Graduation Year

School

How did you hear about CEI?

Do you have an existing business?
Yes No

Reason for requesting business counselling?

Do you have any supporting documentation to upload?
Yes No

Merrick School of Business

Schools and Colleges

Libraries

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