CSUF Startup Incubator Application Form
Company Name: *
Your answer
Type of Organization: *
Mailing Address: *
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E-Mail: *
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Phone Number: *
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Website:
If none, enter NA
Your answer
Brief description of business and products or services offered: *
If known, please illustrate the problem and solution your business concept solves
Your answer
Please name the people involved in your startup. What are their roles in your company? What are their qualifications? *
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Number of current employees (Full-time and Part-time): *
Your answer
Which location would you prefer to be a resident at? *
Desired target date for relocation into the CSUF Startup Incubator: *
If available now, type ASAP
Your answer
What would you like to accomplish during your six month residency at the CSUF Startup Incubator? *
Your answer
Affiliation with University: *
How did you hear about the CSUF Startup Incubator? *
Your answer
The CSUF Startup Incubator offers you an education on Lean Startup, access to University resources, student team assistance, office space, professional guidance and introductions to key business connections over 6 month for a one-time tuition cost of $5,000. Do you have the funds to pay for this investment into your personal development and business opportunity? *
Additional comments:
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Please submit the additional (optional) relevant materials for us to review your application:
Check which materials you will be sending in one email to: csufentrepreneurship@fullerton.edu
By typing my name below, I certifies the information contained in this application is true and complete. I understand this application, when submitted, becomes the property of the CSUF Startup Incubator and will be retained whether or not my application is accepted. *
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