Email *

First Name *

Last Name *

Phone *

What school are you enrolled at? *

Lakeland College

Mid-State Technical College

Nicolet Technical College

Northcentral Technical College

Rasmussen College

Upper Iowa University

UW-Stevens Point

UW-Stevens Point at Marshfield

UW-Stevens Point at Wausau

I am not a current student

Provide a short bio about yourself:

This is really a unique learning experience. What do you hope to get out of it?

Your thoughts on teamwork

Provide an example of a time when you were a contributing member of a team. What characteristics of that team made it successful?

What are three things you would like to learn from the executives and mentors you'll work with?

The Branch will provide an opportunity for you to work with top executives and mentors from local companies. What are three things you would like to learn from them?

Your thoughts on feedback

Describe a time when you received feedback that you did not agree with. Describe the feedback that you received and the action you took to address the feedback you received.

Do you have a LinkedIn profile, personal website or online portfolio?

Having a professional online presence is important. Do you have a LinkedIn profile, personal website or online portfolio? Please share links to these sites.

Your skills as a 'Hacker'

On a scale of 1-5, how would you rate your skills as a 'Hacker'? Are you studying or interested in engineering, manufacturing, machinery or software development? Hackers may show an interest in science and mathematics, as well as a desire to understand the logistics behind a machine or business.

1 - I have zero skills as a Hacker

2 -

3 - I'm kinda capable

4 -

5 - I could get hired tomorrow

Your skills as a 'Hipster'

On a scale of 1-5, how would you rate your skills as a 'Hipster'? Are you studying or interested in design, the creative or visual arts, music, photography or writing? Hipsters may show interest in the image, design or communication of a product or service.

1 - I have zero skills as a Hipster

2 -

3 - I'm kinda capable

4 -

5 - I could get hired tomorrow

Your skills as a 'Hustler'

On a scale of 1-5, how would you rate your skills as a 'Hustler'? Are you studying or interested in sales, marketing or business development and strategy? You don't need to be a business major to be a Hustler, but you should enjoy communicating with people and have an ability to see how new ideas fit into the big picture of a project.

1 - I have zero skills as a Hustler

2 -

3 - I'm kinda capable

4 -

5 - I could get hired tomorrow

Your skills as a 'Handler'

On a scale of 1-5, how would you rate your skills as a 'Handler''? Are you studying or interested in project management? Are you a student who wants to develop stronger organizational and communication skills? Handlers aren't necessarily 'the boss,' but they should have skills to delegate tasks and make sure that all team members are heard and understood.

1 - I have zero skills as a Handler

2 -

3 - I'm kinda capable

4 -

5 - I could get hired tomorrow

Your skills as a 'Hybrid'

On a scale of 1-5, how would you rate your skills as a 'Hybrid''? Are you studying or interested in everything? Are you a double major, an undecided student or do you just enjoy going to school? A 'Hybrid' is a student who is interested in trying new things.

1 - I have zero skills as a Hybrid

2 -

3 - I'm kinda capable

4 -

5 - I could get hired tomorrow

More about your skills

Use this space to provide further details on your experience or skills as a Hacker, Hipster, Hustler, Handler and/or Hybrid:

Do you have the time to commit to this experience?

You should be able to attend the kickoff event, each workshop and the Demo Day. You should plan on having 2-4 hours/week of extra work time available to perform your tasks.

YES - I can attend all meetings and can commit 2-4 hours/week of extra work time

NO - I cannot attend all meetings and/or cannot commit 2-4 hours/week of extra work time (if you select this, we will follow up with you for additional discussion)

Your idea for a project

We're accepting startup ideas for The Branch. Would you like to submit an corporate innovation idea for us to review?

YES - Send me the startup idea submission form

NO - I'm not looking to submit any startup idea

Were you referred to this program? If yes, by whom?