ENT Workshop Application

ENT Workshop Application

First Name*

Last Name*

Email*

Phone Number*

Please select the 2025 ENT Workshop you are applying for?*

Tunisia (ENT 101): 27-29 August

Are you an IEEE Member?*

Yes

No

Age*

<20

20-29

30-39

40-49

50-59

60-69

70+

Gender

Woman

Man

Other

Prefer Not to Answer

Mailing Address*

City*

State / Providence / Region*

Zip Code / Postal Code*

Country*

Select or enter value

Highest degree attained?*

High School Diploma

Bachelors

Masters

Doctorate

Institution You Graduated From?*

Year of Graduation*

Field of Study*

Current role*

Please select your current primary role in the innovation ecosystem.

Entrepreneur

Investor

Corporate Employee

Student

Researcher / Academic

Policy Maker

Support Organization (Incubator, Accelerator, VDO, etc.)

Service Provider

Other

If other, please describe.

What is the name of your company or institution?*

Website

Title*

What is your title at the company or institution above?

Startup Description

Please share a description of your technology, business model, and any traction to date

Do you hold any patents?*

Yes, Non-provisional

Yes, Provisional

No

Please describe why you are interested in attending this workshop?*

Please describe the tangible outcomes you'd like to take away from participating in this workshop?*

What would success look like for you?

Anything else?*

Privacy Policy*

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