ASCEND Business Advising Cohort 2021 Nomination/Application
Please use this form to submit a company for consideration for the ASCEND Business Advising and Company Pitch. This cohort is open to biomed/biotech companies affiliated with academic institutions in the NIH-designated Western IDeA States of Alaska, Hawaii, Idaho, Montana, Nevada, New Mexico, and Wyoming. Please contact Kathy Foster at
katfoster@salud.unm.edu
to answer questions and/or provide additional information.
The cohort runs weekly between April 26-May 21, 2021.
This form will be closed by 5:00 PM MT on Friday, April 9, 2021.
* Required
Email address
*
Your email
Name:
*
Your answer
Professional Designation
*
PhD
PharmD
MD
MBA
N/A
Other:
Required
Company Name
*
Your answer
NIH-Designated Western IDeA State
*
Alaska
Hawaii
Idaho
Montana
Nevada
New Mexico
Wyoming
University Affiliation
*
Your answer
Technology Description
*
Your answer
Technology Stage of Development
*
Idea
In Vivo PoC
In Vitro PoC
Toxicology/Pharmacology Data
Pre-IND/IDE
Clinical
Prototype
Final Product/Device
Other:
Please describe what would help move your technology and/or company move to the next step.
*
Your answer
What type of consulting service(s) would help your company?
*
Your answer
Do you have an intern identified that could help your company?
Yes
No
Maybe
Clear selection
Are you interested in attending the BIO 2021 Digital Partnering Conference?
*
Yes
No
Maybe
Can you commit to a minimum of one to two hour meetings weekly from May weekly, one-hour meetings between April 26-May 21, 2021?
*
Yes
No
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