ADAPTIVE MUSIC x BLACK CHAMBER OF MEMPHIS

Industry Training and Entrepreneurship Program (ITEP) Scholarship Acceptance

Congratulations! You’ve been selected for the ITEP Scholarship! Please complete the acceptance form below.

Recipient Information

First name

Last name

Phone

Acceptance

By checking this box, you acknowledge your acceptance of the ITEP Scholarship, which includes the $1,000 investment fee and attendance at the orientation on Wednesday, March 19, 2025.

Signature

Signature field is empty.

Please sign manually or upload an image of signature.

Investment Payment

Please submit your payment by Monday, March 17, 2025. After making your payment, you will receive an email confirmation. Please check your spam folder if you do not see it in your inbox.

Fixed price

$1000

Your acceptance isn't valid until you have made your investment.