Wufoo

Student Survey

This survey is intended for students interested in working with a startup or starting their own company in the near future. If you’re already associated with a startup company, please go back to the survey for entrepreneurs.

This survey serves multiple purposes—first and foremost, to learn who our student members are and what our companies can do to better serve them. PSL intends to gather specific information about each member and their company to create a membership directory. The directory will be distributed within PSL and to the outside investor community.

We encourage serious students looking to join existing startups or start businesses of their own to post as much information as possible so that we may better connect you with PSL companies.

Participation in the membership directory is OPTIONAL. You can choose to complete all the questions, only post some information, or opt out completely. No information collected will be made public without your consent.

PSL is a private, grassroots group and is not affiliated with any governmental organization or university. PSL does not discriminate or make any membership decisions based on age, sex, race or religion. The demographic data we collect is only intended to help provide PSL members with funding and staffing opportunities that may become available through partner organizations.

Member Profile Information
Name * First Last
Email
Phone ### - ### - ####
Phone Extension
College/university you are currently attending *
Expected Date of Graduation * MM / DD / YYYY
Level of Education (expected at next degree) *
Major/area of concentration *
Additional major/area of concentration
LinkedIn Profile URL
Demographic Data (private)

The demographic information collected below is intended to assist PSL in securing grants and publicity for the organization and its members. The information will not be made public and will not be included in the membership directory.
Gender *
Year of Birth *
Level of education completed to date *
County where you live *
County where you work
Work Experience

In order to best serve our growing start up community, PSL is gathering information about the local students to provide to our startup entrepreneurs. Gathering accurate information is essential to the programming we plan to enact. If a field is not applicable to your business or you do not have enough accurate information to properly answer a question, we ask that you leave the field blank rather than give inaccurate information. The specific information gathered will remain confidential and will only be disseminated with your expressed consent.
Professional Bio
Maximum Allowed: 200 words. Currently Used: 0 words.
Résumé (Attach File)
Membership Directory Options

Please decide if you would like your information included in the membership directory. You may include as much or as little information as you wish, and participation is not mandatory.
Would you like your member profile to be included in the membership directory?
*
Yes No
Would your work experience included in the membership directory? The information will be made public and will be distrbuted to the startup community. In order to include company information, you must also agree to include your member profile information (question above).
*
Yes No
Do Not Fill This Out
Do Not Fill This Out