Start-Up Award Application
(Confidentiality will be maintained)
Applicant's Name *
Your answer
Name of Company *
Your answer
Email *
Your answer
LinkedIn Profle *
Your answer
Company Website *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip/Post Code *
Your answer
What is the mission of your company? *
Your answer
What are your services and products?  *
Your answer
What is your customer segment?  *
Your answer
Who is your competition?  *
Your answer
Number of rounds of funding  *
Your answer
What is your geographic market?  *
Your answer
Briefly describe your business model  *
Your answer
How are you currently implementing Open Innovation in your Business Model?  *
Your answer
How do you meet the award requirements?  *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of UC Berkeley. Report Abuse - Terms of Service - Additional Terms