Apply for Veterans Launching Ventures Course

Application, Registration, and Payment

Please complete the application below for Fairleigh Dickinson University's Veterans Launching Ventures program. A U.S. veteran is any individual who has ever served or is currently serving in the United States armed forces. We also accept applications from the spouse and/or children of U.S. veterans. Thank you very much for your interest in the VLV program.

The course is not available to students residing in the following states: Alabama, Alaska, Iowa, Montana, Nebraska, New Hampshire, Oregon, Texas, Utah, Wisconsin, and Wyoming.

Unless indicated as optional, all fields are required.

Your Venture:

What is your business idea?

Which VLV course option are you applying for?

  • VLV 1000 31 Online option. Internet access required. Our next 8-week course will run from June 12 through August 7, 2017.
  • VLV 1000 32 Blended option. Attendance at six evening workshops at FDU's Florham Campus in Madison, NJ and internet access are required. The six in-person sessions are: March 23, April 6, April 20, May 4, May 17, and June 1, 2017.
Your Contact Information


First Name (Given name):

Last Name (Surname):







Your Education

Please choose one that is most accurate.


Your Current Employment Status

Please choose one that is most accurate.

Additional employment information. Please briefly describe your work.

Veteran Information

What is your relationship to the veteran?

  • I am a veteran.
  • My spouse is/was a veteran.
  • My parent is/was a veteran.

Veteran's full name (if your spouse or parent):

Select the branch of service for the veteran.

Specify war-time service for the veteran.

Was the service in combat?

  • Yes.
  • No.

Years of military service.

Starting year:

Ending year:

VLV Info

How did you hear about Veterans Launching Ventures? *

Please be as detailed as possible. This helps us know which marketing efforts work best.

Veterans Launching Ventures is a fully sponsor-funded program for U.S. Military Veterans, their spouses and children.

Submit the Application
  • I certify that all of the information entered on this form is true and correct. I understand that if I knowingly and/or willingly falsified any information or misrepresented myself or another individual, that I am liable to be fined and held legally responsible for such misrepresentation, including paying the full $2,000.00 tuition for the course if I participate in any part of the course.







Veterans Launching Ventures is a course offered by the Rothman Institute of Innovation and Entrepreneurship, part of Silberman College of Business at Fairleigh Dickinson University.

Contact Information

Timur Pakay
Executive Director
Rothman Institute
973-443-8887 phone

Mailing Address

Fairleigh Dickinson University
Silberman College of Business
Rothman Institute of Innovation and Entrepreneurship
285 Madison Ave
Mail Stop M-MS1-05
Madison, NJ 07940