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Students: Please complete the following form. Please also attach your résumé to an e-mail addressed to ghenley@gsu.edu. The quality of your résumé is very important because it will be given to the entrepreneurs you want to work with. So, you should also follow up by mailing your résumé to:

Dr. Greg Henley
Herman J. Russell, Sr. International Center for Entrepreneurship
Department of Managerial Sciences
P.O. Box 4014
J. Mack Robinson College of Business
Georgia State University
Atlanta, GA 30302-4014
ghenley@gsu.edu

         

		Student Name:       

		Student Number:     

		E-mail Address:     

		

		Home Address:       

							

							  

		City:               

		

		State:                                   

		Zip:                

		Phone Number(day):  

		Phone Number(night):

		Degree you are seeking (MBA,MS,etc) and

		Major or Concentration:

			 

		Number of courses completed towards graduation:

			 

		Expected Graduation Date:

			 

		Graduate and Undergraduate:

			 Graduate

			 Undergraduate

		List the Entrepreneurship courses you have taken

		

		Brief Statement of Interest: state why you want to 

		take this course(no more than 2 typed pages)

		

		Skills you have that will assist an entrepreneurial 

		firm
GSU  | RCB | Dept. of Managerial Sciences  |  Entrepreneurship Center | Field Study Home

Contact Wm. Drew Hermann for comments and questions: ahermann1@student.gsu.edu