STATE LEADERSHIP TEAM ______________EntrepreneurshipWeekUSA

1. Description of plans:
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
2. How will the governor be involved in the initiative?
   
   
   
   
   
   
   
   
3. Will there be a state-level proclamation in support of EntrepreneurshipWeek USA?
   
   
   
   
4. Do we have your permission to use this information in any future promotional activities?______________ Note: We will not be sharing this contact information.

Please copy this form, fill it out as much as possible, and return it as an attachment to ….
Michael at entre-week@entre-ed.org

Note, as your events develop please keep us updated on your progress. We welcome pictures and stories that can be used for promotion of EntrepreneurshipWeek USA on a national basis.

Please provide contact information for all team members, indicate the chair with an asterisk

1. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

2. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

3. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

4. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

5. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

6. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

7. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

8. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

9. ORGANIZATION:
   
   * CONTACT PERSON (S):
   
   * ADDRESS:
   
   * PHONE ________________________ * EMAIL _______________________
   * WEBSITE_______________

10. ORGANIZATION:
    
    * CONTACT PERSON (S):
    
    * ADDRESS:
    
    * PHONE ________________________ * EMAIL _______________________
    * WEBSITE_______________

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Submitted by: __________________________________ Date:___________________

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