Page 1 of 4 Thank you for your interest in graduate credit with the University of Iowa for ENTR:9600:0WKE, BizInnovator Startup. Your first step in the enrollment process is to submit this webform. Once your course request webform is received, the UI Distance and Online Student Services team will contact you, at the email provided, regarding your next steps in the enrollment process. Information to consider before completing this webform:·BizInnovator Startup professional development is a graduate workshop. You must be in graduate status to enroll. Please complete this webform to start the admission process.·After completing this webform, you will receive information about setting up your UI student portal access (MyUI), complete a Billing and Payment Agreement and enroll in your workshop on your own. ·If you are currently enrolled as an undergraduate student at the University of Iowa and would like to enroll, contact mollie-mart@uiowa.edu to determine eligibility to enroll for graduate credit.·To earn graduate credit at the University of Iowa, you will be required to provide official transcripts showing a bachelor’s degree or higher, and a GPA of 2.5 or higher. Please request that an official copy of your transcripts, from your undergraduate or graduate institution, be sent to the University of Iowa. You can also check to be sure that we have your transcript on file by contacting Graduate Admissions at gradmail@uiowa.edu.·As a Distance and Online Nondegree student, you will be assessed a $75 Records and Documents Fee upon your second enrollment session.QUESTIONS? Contact Mollie Willis in Distance and Online Education at mollie-mart@uiowa.edu or 319-467-0110 Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Sex * Female Intersex Male Prefer not to answer Gender, select all that apply * Agender Cisgender Man Non-binary Transgender Woman Another gender not listed Prefer not to answer Last Name * First Name, Middle Initial * Street Number and Name, include unit number (if applicable) * City, State and Zip Code * County * Area Code and Cell Phone Number * Email Address, please list an email that you check daily * Citizen of the USA * Yes No Ethnicity / Race / Tribal Affiliation (optional) Hispanic / Latinx Yes No Veteran Yes No Website URL