Application Form

Form should be filled in BLOCK CAPITALS and in Blue Ink

Name: _____________________________________________
Address: ___________________________________________
___________________________________________________
___________________________________________________
Date of Birth: _______________________________________
Contact Number: ____________________________________
Alternative Number: _________________________________
Email ID: ___________________________________________
Marital Status: ______________________________________
Current status:
Student

Working

Retired

House wife

Looking for an opportunity

How did you get to know about the program?

A Friend

Internet

Other source

Payment Details:
Bank Name- _________________________________

Dated- _______________________

Amount-____________________________________

DD No-________________________

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Have you heard/read about DeePositive? Or have attended any event organized by us?
Yes

No

If yes, please mention details:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Path :
School: _____________________________________

City: __________________________________

College: _____________________________________ City: __________________________________

1st Job:
Name of the company:

Designation:

Achievement:

___________________________

_______________________

__________________________

Name of the company:

Designation:

Achievements:

___________________________

_______________________

__________________________

Name of the company:

Designation:

Achievements:

___________________________

_______________________

__________________________

Name of the company:

Designation:

Achievements:

___________________________

_______________________

__________________________

2nd Job:

3rd Job:

4th Job:

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Preferences:
Who is your favorite entrepreneur and why?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Who is your favorite politician and why?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Who is your favorite sports person and why?

_____________________________________________________________________________________
_____________________________________________________________________________________
Your closest relationship in your family and why?
_____________________________________________________________________________________
_____________________________________________________________________________________
Do you read the newspaper? Which section interests you the most?
_____________________________________________________________________________________
____________________________________________________________________________________
What would be your favorite subject for a debate?
_____________________________________________________________________________________
_____________________________________________________________________________________
Are you on any social networking site? If yes, which and why?
_____________________________________________________________________________________
_____________________________________________________________________________________

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What excites you as citizen of this country, where do you see opportunities of change?
_____________________________________________________________________________________
_____________________________________________________________________________________
How do you prioritise your life?
_____________________________________________________________________________________
_____________________________________________________________________________________
One idea, according to you, that can change India.
_____________________________________________________________________________________
_____________________________________________________________________________________
Your strengths include:
1. ___________________________________________________________________________________
2. ___________________________________________________________________________________
3. ___________________________________________________________________________________

Your hobbies include:

1. ___________________________________________________________________________________
2. ___________________________________________________________________________________
3. ___________________________________________________________________________________

What does creative mean to you?

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

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Passion Quotient:
Why do you really want to be on the Intern to Entrepreneur Programme?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Why do you WANT to be an Entrepreneur?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Is your dream a ONE LINER or a JET READY TO TAKE OFF?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What is it that you are really passionate about? Is your idea a reflective of your passion?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How do you think you will benefit from our intern to entrepreneur programme?
_____________________________________________________________________________________
_____________________________________________________________________________________
What are your expectations of the internship section of the programe?
_____________________________________________________________________________________
_____________________________________________________________________________________
Have you made the DD? Share the first thought that crossed your mind when you heard about the
Intern to Entrepreneur Program.
_____________________________________________________________________________________
_____________________________________________________________________________________
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What is the biggest risk you have taken to this day?

_____________________________________________________________________________________
_____________________________________________________________________________________
What risks youd be willing to take to get from being an INTERN to being an ENTERPRENEUR?
_____________________________________________________________________________________
_____________________________________________________________________________________
Who do you think will benefit from your entrepreneurship plan?
_____________________________________________________________________________________
_____________________________________________________________________________________
Why would we select you for this program?
_____________________________________________________________________________________
_____________________________________________________________________________________
What if, we do not choose you to intern with us? What is the TOP reason you feel will be responsible?
_____________________________________________________________________________________
_____________________________________________________________________________________
If you arent chosen, what would be the top 5 positives youd derive from the exercise of applying for
the Intern to Entrepreneur Program?
1.
2.
3.
4.
5.

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

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Please read Terms & Conditions. Put a tick to indicate that you have duly read them and understood them.
Intern to Entrepreneur is a not for profit initiative by DeePositive Foundation where aspiring entrepreneurs are invited to intern
with DeePositive Foundation & DeePositive Intertainment projects and it is created so with the intent to innovate with
Gratitude in the space of entrepreneurship.
Since, this is a novel idea and has no benchmarks, previously known. DeePositive Foundation reserves the rights to continue to
introspect and innovate in the process to commit to giving our new entrepreneurs a more advantageous and support driven
platform to begin their journey as Entrepreneurs
The program is open to all who aspire to begin an entrepreneurial journey and are willing to intern with dedication, with the
aim and purpose of growing a business idea into a self sustainable brand/identity with DeePositive as Co-Founder/Mentor with
51% managing rights in your company for a minimum period of 1 year and a maximum period of 3 years.
At the end of successful completion of the program a brand new business entity will be registered in the name of the intern
with an initial 51% of the basic capital investment of Rs. 1,00,000/- made by DeePositive Intertainment and 49% by the
entrepreneur. By facilitating the initial 51% capital investment DeePositive Intertainment will be entitled to have managing
rights in the business. The 51% stake continues to be in force till the business becomes stable and is in position to buy back the
stakes from DeePositive Intertainment. Which will be reviewed annually and an exit strategy and percentage wise buy out
DeePositive percentage in the said venture.
st

You must be 18+ years old on or before the 1 of January 2013 to apply. There is no upper age limit to apply. We encourage
applications from people who already have an idea they would like to work on and need a support team to empower their idea
into a brand/identity
The programme is divided into 4 parts 1) Application 2) Selection 3) Intern 4) Entrepreneur with purpose. In part 1 your intent
will be assessed in written through the content of the application and your intent to begin your own personal entrepreneurial
journey. In Part 2 (if selected on the basis of application and intent) you will be assessed on your understanding of your passion
and vision for your business. The selection process will also include a discussion on your internship commitments to DeePositive
Intertainment and DeePositive Foundation projects and how these practical learning sessions will contribute to the growth of
your business idea into an identity.
Participation in the program is strictly by application and by merit of your personal vision to be an entrepreneur. DeePositive
does not guarantee an outcome, however, will continue to construct and detail your idea into an identity of which you will be
wholly responsible for your growth within the company. You will be treated as an Entrepreneur in the making and hence,
expected to perform on DeePositive Intertainment and DeePositive Foundation projects with an intent to create ownership
qualities that will assist you in building your skills to grow into the whole sole owner of the identity we create for you at the end
of your internship period of 1 year.
An application fee of Rs. 5000/- is applicable with each application for a successful submission. The amount will be accepted in
a DD form drawn in favor of DeePositive Foundation. WE WILL NOT ACCEPT ANY PAYMENTS IN CASH OR ANY OTHER FORM TO
MAINTAIN TRANSPARENCY IN TRANSACTIONS.
The application fee is valid for one successful submission of application session and is non-refundable / non-transferable to any
other person or sessions.

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DeePositive Foundation and its representatives and partners have the final say on the selection process and selection of your
candidature for the programme. Applying for the intern to entrepreneur programme does not gurantee selection.
DeePositive Foundation reserves the right to reject an application if the same is not duly filled. All questions are important and
must be filled in completion, any questions left unfilled may result in rejection, hence, in your own interest, please ensure that
the form is duly complete.
The selection procedure is the sole discretion of DeePositive Foundation. The decision on selection will be final and binding. The
final list of shortlisted applicants will be announced on the DeePositive website and the social media page on Facebook.
An intern will be expected to actively and sincerely participate in the ongoing or to be announced projects and events of
DeePositive Foundation and DeePositive Intertainment during the tenure of internship programme.
Any irregularities or unethical code of conduct observed in any intern may call for a strict review, warning or even elimination
from the programme. In such a case, if you have been shortlisted for the Selection Process you may hold the possibility of being
invited to join the programme in the middle of the session. This process is valid for all applicants for the batch which is in
session.
During the event of internship the intern will be a full time resource. Dedicated and involved in the program and will be
available in person to secure practical knowledge and learning through the given projects that have been assigned. The intern
must be are aware that all processes assigned, is with the greater purpose of assisting the process of detailing and handling
their own brand/identity at the end of the intern to entrepreneur programme.

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DeclaratIon
I ________________________ son/daughter of _____________________________, do hereby declare that I have
filled in the form myself and all information provided herein is true to the word.
At the time of filling in the application I am NOT involved in any business or entrepreneurial venture that will
hinder or hamper my being selected for the programme.
OR
I am pursuing a degree in ______________________ through _________________________ institute/college.
OR
I am presently working with _________________________ as _________________________since __________.
I have duly read all the terms and conditions of application and fully understand that application is my intent to be
a part of the selection BUT does not guarantee being shortlisted for selection or a guaranteed place in the intern
to entrepreneur programme.

Signature of the candidate:

Date:
Place:

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