Application for Admission
The mission of the Business Innovation Center (BIC) is to foster entrepreneurship.
Eligibility Requirements
The following guidelines reflect the minimum requirements for consideration for admission into the Business Innovation Center. Meeting these criteria is, however, no guarantee of admission; after a full application (including business plan) are received, the application will go to a review committee for recommendation on admittance. These criteria are provided only as a guideline for application.

_____________________________________________________________

1. Within 1-2 years of sustainable commercial revenues OR significant investment.

2. Innovation-based start-up companies, with a technology strategy that creates defensible value (such as through patents, trade secrets, copyrights, know-how) and is focused on commercial application.

3. Be a for-profit entity (corporation, LLC, partnership or sole proprietorship).

4. Adequate capitalization to provide for six (6) months of viable operation (to be outlined in a business plan), and can pay six (6) months of services to the BIC.

5. Business plan which addresses potential markets and size of market, growth potential, financial proformas, personnel growth and acquisition, and exit strategies.

6. Technical expertise in the field, with a plan to acquire qualified resources in employee, market, and financial management.

7. The candidate company must fit within the operational model of the specific facility (space requirements, license fees, equipment/facility requirements, etc.).

8. The candidate company does not exceed space available and does not need special arrangements that cannot be supplied.

9. Submission of a complete BIC application.
Clients will be required to confidentially submit monthly progress reports (including financial statements) for review by the BIC staff. Additional information may be required.


Upon admission to BIC, company agrees to:

1. Attend quarterly meetings with BIC management personnel to review milestones, evaluate progress, and explore options for business development.

2. Submit a performance report* to BIC management no later than sixty (60) days prior to renewal of services contract. Renewal of services contract is contingent upon adequate progress toward milestones, as reported in the performance report.

3. Attend periodic group events arranged by BIC management and generally take advantage of opportunities to network with service providers and other BIC clients.

*Performance report assistance is provided through our technical assistance program.

Submit application form and business plan to:
Business Innovation Center at Florida State University-Panama City
4750 Collegiate Dr.
Panama City, Fl 32405

The final decision regarding admission to BIC is at the sole discretion of the BIC management team.

Business Innovation Center Application Form
Company Information
Company Name:
Your answer
Contact Name:
Your answer
Address Street #1
Your answer
Address Street #2
Your answer
Address City
Your answer
Address State
Your answer
Address Postal Code
Your answer
Phone Number
Your answer
Fax Number
Your answer
Email Address
Your answer
Website URL
Your answer
Is your business a proprietorship, partnership, corporation or none of the above.
Tax ID #
Your answer
What year was business started?
Your answer
Employee Information
Number of Employees.
Full Time:
Your answer
Part Time:
Your answer
Future Employment - 1 Year
Estimate future employment one year from now.
Full Time.
Your answer
Part Time.
Your answer
Future Employment - 2 Years
Estimate future employment two years from now.
Briefly describe your business, its products, and the market you are targeting.
Be as specific as possible.
Your answer
Please estimate the initial capitalization of your business.
Have you secured funding for your business to date?
Secured Funding
If you have secured funding for your project, how much have you secured?Considering following sources, list the amounts of funding you have secured.
Government grant/contract?
Your answer
If secured funding is form government source, what agency?
Your answer
Angel investment?
Your answer
Venture Capital?
Your answer
Corporate investment?
Your answer
Personal?
Your answer
Facility Space Needs
What office space do you need?
Approximately how many square feet?
Your answer
What laboratory space do you need?
Approximately how many square feet?
Your answer
What date do you estimate you will need to take occupancy of the space?
Your answer
If you have an existing relationship with university faculty or university programs, please describe that relationship and the activities taking place.
Your answer
How did you hear about BIC?
Your answer
My digital signature below certifies the information contained in this application is true and complete. I understand this application, when submitted, becomes the property of the BIC and will be retained by the BIC whether or not my application is accepted.
Signature
Your answer
Title:
Your answer
Date:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Business Innovation Center at FSU Panama City. Report Abuse - Terms of Service - Additional Terms