ExporTech™ Scholarship Application

ExporTech™ Scholarship Application

Please fill out the below form to participate in ExporTech™ and potentially become eligible for a scholarship from the Wisconsin Economic Development Corporation. If you have questions, please contact Roxanne Baumann, Director Global Engagement, WMEP at 262.442.8279 or [email protected].

Address(Required)

First Participant Information

Name(Required)

Second Participant Information

Name

Third Participant Information

Name

Fourth Participant Information

Name

Company Background

Minority-Owned
Women-Owned
Tribally-Owned
Corporate Headquarters Location(Required)
Please enter a number from 0 to 100.
Dun & Bradstreet Number can be found at www.dnb.com
This is the North American Industries Classification Systems (NAICS) number that describes what your company does. If you do not know your NAICS code, please 1) Check your Dun&Bradstreet listing; and/or 2) Search for the applicable code at https://www.census.gov/eos/www/naics/
This is a 10-digit number describing your product. It is an internationally standardized product classification code system. Often called the Harmonized System or HS Code. You can often find yours on current shipping documents you are submitting. More info at: https://www.trade.gov/harmonized-system-hs-codes

Company Information

Electronic Signature

Name(Required)
MM slash DD slash YYYY
Please enter a number from 11 to 11. Your answer should be a two-digit number, such as “42.”

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