KC BizFest Application Event Date: February 5 – 8, 2014 Application due date: October 25th, 2013 If applications are hand-carried, please deliver them to the address below no later than 4 p.m. October 25, 2013. Please send/deliver applications to: GKCHC-KC BizFest, 2001 Grand Blvd # 700, Kansas City, MO 64108. Applicants will be notified by mail December 14th, 2013 Student Information: First Name: Middle Name: Male Female Last Name(s): Home Address: City: State: Phone: (Home) Zip Code: Phone(Cell ): E-mail (Print All Caps): High School Information: Name of High School: Grade Level: Counselor Name: Counselor Phone: Counselor E-mail: G.P.A.: Have you applied for KC Bizfest before? Yes No Yes Have you or are you taking any college courses or advanced placement (AP) while in High School? If yes, course(s) name(s): Are you currently employed? Yes No If “yes,” how many hours do you work weekly? Do you have any special needs? (i.e. Dietary, handicap accessible, hearing impairments, etc.): KC Bizfest Application If you have specific questions, please contact The Hispanic Chamber of Commerce (816).472-6767 Page 1 No Demographic Information: Please note: The following information must be completed for GKCHC fundraising purposes. Student: Ethnicity of student (please select one): African/Afro American/Black, not Hispanic or Latino American Indian or Alaska Native Asian/Middle Eastern Hispanic or Latino, of any race Native Hawaiian or Other Pacific Islander White, hot Hispanic or Latino Two or more races Does the student qualify to receive a free lunch at your school? Yes No What country was the student born in? Father: What country were your parents born in? Mother What language do you predominantly speak at home? Household Annual Income: (Please check which one applies) $11,491 or below $11,491 - $15,510 $15,511 - $19,530 $19,531 - $23,550 $23,551 - $27,570 $27,571 - $31,590 $31,591 - $35,610 $35,611 - $39,630 $39,631 - $42,105 above $47,362 Number persons in the household: 3-4 5-6 7-8 9 or more Letters of Recommendation: Counselor, teacher, employer and/or community leader recommendation letters must accompany this application. Please submit at least two letters. Important Advisories: Students selected to attend KC BizFest are expected to participate in the full program. Students under the age of 18 on first day of KC Bizfest, must submit a signed parental waiver. All participating students must receive permission from the appropriate school officials to be excused from classes. Participants from prior KC BizFests are ineligible. The judges’ decisions shall be final and not subject to appeal. □ Yes, I wish to attend all of the Greater Kansas City Hispanic Collaborative KC BizFest activities to be held at Shawnee Mission’s Indian Creek Technology Center, 4401 W. 103rd Street, Overland Park, KS 66207. : Student Signature Date KC Bizfest Application If you have specific questions, please contact The Hispanic Chamber of Commerce (816).472-6767 Page 2 Please answer the following questions (use a separate sheet of paper, if necessary to type your essay) 1. Why are you interested in attending KC BizFest? (100 –250 words) 2. What does entrepreneurship mean to you? (100-250 words) KC Bizfest Application If you have specific questions, please contact The Hispanic Chamber of Commerce (816).472-6767 Page 3