Online Survey Software | Qualtrics Survey Solutions

Thank you for your interest in receiving startup consultation. Please complete the following form. After we receive your entry we will be in contact with you to schedule an appointment.

If you have any questions or concerns, please email CIEF at entrepreneurship@unomaha.edu.

Please provide your first name and last name in the form below.

First Name

Last Name

Please enter your preferred cell phone number in the form below. Please include area number.

Cell Phone Number

Please enter your preferred email address in the form below.

Email Address

Using the space provide, please tell us how you heard about startup consultation.

Using the space provide, please tell us about your idea or startup.

The University of Nebraska does not discriminate based on race, color, ethnicity, national origin, sex, pregnancy, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, marital status, and/or political affiliation in its education programs or activities, including admissions and employment. The University prohibits any form of retaliation being taken against anyone for reporting discrimination, harassment, or retaliation for otherwise engaging in protected activity. Read the full statement.