European Young Entrepreneurs Awards Innovact - l Etudiant 2006

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> European Young Entrepreneurs Awards APPLICATION FORM For five years now, the European Young Entrepreneurs Awards have, with the support of the European Commission, enabled young students to implement their projects at European level (until last year, these awards were called: European Awards for Innovation) If you are a student with a creative idea for a business project, you can with a team or individually, take part in the fifth edition of the European Young Entrepreneurs Awards whose aim is to reward new and challenging projects. Your project can either be in its design stage, in progress or already launched. The selection committee composed of professionals (heads of companies, journalists, scientists) presided over by Janez Potocnick, European commissioner for research, will reward the candidates who - whatever the product or activity- show imagination as creators. All students can take part in the competition either individually or within the framework of their institution. However, the reputation or prestige of the institution will not influence the final decision, which will depend entirely on the quality of the project presented. The winners will receive prize money and will benefit from media coverage; l Etudiant, l Express and l Expansion. 1 st prize: 3,000 euros - 2 nd et 3 rd prize: 1,500 euros. Moreover, in order to encourage their projects, the thirty finalist candidates will be invited to come to a forum of meetings and discussions on the 18th/19th of October 2006 (transport and accommodation) during the 11th edition of Innovact, the European forum for innovative growth companies. The Awards ceremony will take place in Reims, during Innovact, on October 18. If you wish to participate, complete the following application form (4 pages), and attach any accompanying documents you will judge necessary. Deadline for receipt of application forms: Friday 1 September 2006 Address: Les Espoirs Européens de l Innovation Innovact/l Etudiant, 27, rue du Chemin-Vert - 75543 Paris cedex 11. Contact: Dahvia Ouadia, dahvia.ouadia@letudiant.fr, 00 33 (1) 48 07 44 20 For more information see our web sites: www.innovact.com ou www.letudiant.fr Good luck, and best wishes! 1

IDENTIFICATION FORM Members of the team: name, age, discipline Student in charge of project follow up: Family name and first name:.... Address:... Telephone:... E-mail of the person in charge:... E-mail of the team:... Name and type of Institution: Level of studies and diploma prepared:.... Do you have a part-time job?:... 2

Title of the project: Sector of activity: Description and innovative quality of the project: 3

How would you like to see your idea implemented? (Creating a firm, subcontractor, patent): How much did your institution contribute to the project?: What are your ambitions for your project, and your personal ambitions?: 4

Product and technology: Describe the advantages of your project over existing solutions? Innovative qualities of your product/ service? What are the technologies offered by your competitors? Implementation of the project: Which stage have you reached so far? Which developing strategy do you have in mind (creating a firm, distribution, patent)? market potential? Partnerships: Are you in partnership? On which aspect of the product? Funding: Do you need funding? If so, for which purpose? Enclose financial statements if possible. 5