Technology Business Incubator Application
Please complete the application form and allow the Research Park staff up to 72 hours to review and respond.
Name of applicant *
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Company name *
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Address *
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City *
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State *
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Zip *
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County *
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Phone *
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Email *
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Website *
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Date of incorporation *
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State/Country of incorporation *
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What is the legal structure of your company? *
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Please provide an overview on your company background. *
When, why and how did you start your business. Tell us the story of your journey so far.
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What is your product/service? *
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Do you have any current patents/trademarks? *
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What stage is your company? *
Please provide an overview of your leadership/management team background and experience in your industry. *
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# of full-time current employees *
Please tell us how many total employees you have, and how many employees will be occupying space at the Research Park at FAU.
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# of part-time employees *
Please tell us how many total employees you have, and how many employees will be occupying space at the Research Park at FAU.
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# of interns *
Please tell us how many total employees you have, and how many employees will be occupying space at the Research Park at FAU.
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Please describe your future hiring needs. *
Is there specific talent you are looking to hire from FAU? Are there specific positions to be filled? Will you need interns?
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How is your company currently funded? *
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Will you need additional funding to achieve your business goals? If so, please describe. *
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What are some of your major achieved milestones/successes to date? *
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What are you future milestones? *
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What business goals drive your partnership with FAU? *
For example: Do you have a short-term problem to solve? Are you looking for talent? Are you looking to develop new innovations/technologies with FAU?
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What are the key focus areas of a partnership with FAU, and how are they selected to ensure alignment with your business goals? *
Please describe your company priorities for working with the university.
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Who are (or will be) your primary FAU partners, and by what criteria were they chosen? *
Who have you identified within FAU to engage with and why? Familiarity: previous joint projects, personal relationships? Location: proximity to desired area? Excellence: FAU, lab or specific researchers reputation? Legal framework: IP rights, etc? Culture: entrepreneurial, industry clusters, interdisciplinary collaboration?
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What collaboration formats match your focus areas and business goals? *
How should your collaboration/partnership with FAU work? Embedded company employees working within FAU labs? Joint grant? Student Hackathons/Competitions? Collaborate on publicly funded research? Your chosen working format must align with your company goals to achieve your milestones.
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What people, processes, and organizational structures support your FAU partnerships? *
Please describe the people, process and structures that will oversee/manage projects with FAU.
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What key performance indicators are most useful for evaluating your FAU partnership(s)? *
Investments? Number of joint projects per year? Number of students hired? Number of patents/license agreements? Amount of public funding leveraged? Effectiveness and efficiency of projects? Number of faculty members and students involved in projects per year? Number of ideas that turn into product developments?
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Do you currently have other partnerships / affiliations (university or corporate)? If so, please describe. *
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Do you plan to develop future partnerships / affiliations with other universities or corporations in the future? If so, please describe. *
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Additional comments
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