Online Survey Software | Qualtrics Survey Solutions

Thank you for expressing interest in speaking at one or more of the Center for Innovation, Entrepreneurship and Franchising opportunities. There are three opportunities to become a speaker for CIEF. Please take the time in filling out this survey.

If you have any questions or concerns please email Connor Berg at cberg@unomaha.edu or Levi Cermak at lcermak7@unomaha.edu.

Please provide the following information.

First Name

Last Name

Phone Number (include area code)

Email

Company Name

Role in Company

Please describe the role you play within your company.

Please list all industries you participate in.

Industry #1

Industry #2

Industry #3

Industry #4

Industry #5

Industry #6

What interests you about being a speaker?

Which speaking opportunity are you interested in? (Please select all that apply)

Collegiate Entrepreneurs' Organization
Entrepreneurial Living Learning Community
Entrepreneurial Courses at UNO

Please provide addition information regarding topics your are interested in speaking about.