This document contains a sample recruitment questionnaire for the Martin Trust Center for MIT Entrepreneurship. The questionnaire collects information from applicants such as their program of study, interest level in startups and entrepreneurship, likelihood of starting a company after graduation, and familiarity with the MIT Entrepreneurship Center. The document also provides criteria for selecting applicants, favoring those in engineering, science or related fields who are interested in entrepreneurship and starting companies with little prior familiarity with the Trust Center.

1. 1
MartinTrust Center for MITEntrepreneurship – Sample Recruitment
Questionnaire
Recruitment questionnaire
1. What is yourprogram of study?
School:
- School of Architecture andPlanning
- School of Engineering
- School of Humanities,Arts,andSocial Sciences
- SloanSchool of Management
- School of Science
- WhitakerCollege of HealthSciencesandTechnology
Course #:
[fill in]
Undergraduate orGraduate:
- Undergraduate
- Graduate
2. What level of interestdoyouhave inlearningwhatitislike toworkin a startupor to start a
company?Are you veryinterested,somewhatinterested,neitherinterestednordisinterested,
somewhatdisinterested,orverydisinterested?
- VeryInterested
- SomewhatInterested
- NeitherInterestednorDisinterested
- SomewhatDisinterested
- VeryDisinterested
- I Don't Know
3. How likelyare youtostart a companywithinfive yearsof graduatingfromyourcurrentdegree
program?Are youverylikely,somewhatlikely,neitherlikelynorunlikely,somewhatunlikely,orvery
unlikely?
- Verylikely
- Somewhatlikely
- Neitherlikelynorunlikely
- Somewhatunlikely

2. 2
- Veryunlikely
- I Don't Know
4. What level of familiaritydoyouhave withthe MIT EntrepreneurshipCenter?Are youveryfamiliar,
somewhatfamiliar,neitherfamiliarnorunfamiliar,somewhatunfamiliar,or veryunfamiliar?
- Veryfamiliar
- Somewhatfamiliar
- Neitherfamiliarnorunfamiliar
- Somewhatunfamilar
- Veryunfamiliar
5. InformationAboutYou
Name
[fill in]
Email
[fill in]
Gender
- Male
- Female
Weed out criteria:
- Will acceptonlyif Q1 isSchool of Engineering,orSchool of Science,orCourse NumberisMAS
(MediaLab)
- Will accepta 50/50 splitof undergrad/gradanda 50/50 splitof male/female
- Will rejectif Q2 isSomewhatorVeryDisinterested(regardinginterestinstartups)
- Will rejectif Q3 isSomewhatorVeryUnlikely(regardingstartingacompany)
- Will rejectif Q4 isVeryFamiliarorSomewhatFamiliar(regardingfamiliaritywithTrustCenter)
- Will rejectif people givethe “neither”or“I don’tknow”responsesonQ2-3.