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Application to Join BioInnovation Lab
Your idea + BioInnovation Lab = Sustainable Results
Venture Information
Venture Name
*
Website (if applicable)
High-concept pitch. In one line, briefly describe what your venture does.
*
How long have you been working on this idea?
*
Under one year
1 - 2 years
2 - 3 years
3 - 5 years
5+ years
With what industry does your venture most closely align?
*
Consumer and/or Technology
Social and/or Cultural Innovation
Health and/or Sciences
Do you require wet lab space for your venture?
*
Yes
No
Not sure
Do you require storage space larger than a file cabinet for your venture?
*
Yes
No
Not sure
Market Opportunity
What’s the problem you are looking to solve? Describe the market opportunity.
*
Describe your solution (what will you make or do)? For whom are you solving this problem?
*
How do you intend to acquire customers or reach your key stakeholders?
*
How big is your market, what % of that market do you hope to capture, and what segment to you plan to capture first?
*
Who are your competitors, and who might become competitors?
*
Are you for-profit or non-profit?
*
for-profit
non-profit
Progress to Date
What potential industry partners and/or customers have you met with to validate your idea?
*
How far along are you in developing your venture’s product/offering?
*
Patent filed
Completed prototype or proof-of-concept
Actively developing product/offering
Have working product/offering
Currently being "beta" tested by users
Have working product/offering in production/on the market
None of the above
What is your funding model and/or plan to generate revenue?
*
How much funding have you received to date?
*
0 - $250,000
$250,000 – $500,000
$500,000-$1,000,000
$1,000,000-$3,000,000
$3,000,000+
Please itemize the amounts from each source. (i.e. Competition/Challenge Prizes; Friends/Family; University funded/grants; Angel funding; Venture Capital; Crowdfunding; Revenue.)
*
Have you participated in any other startup incubator or accelerator programs for this venture?
*
Yes
No
Share with us your timeline and corresponding goals for the next 9-12 months.
*
Describe your strategy for achieving these goals.
*
Biographic Background Information
Name of Lead Team Member
*
First Name
*
Last Name
*
Team Lead Email
*
Team Lead Phone
*
Team Lead's Primary Role
*
Team Leader's School Affiliation
*
Team Leader's Graduation Year
*
Will the Team Lead work at the Bio-Innovation Lab on a regular basis (at least 1 day/week)?
*
Yes
No
How many team members (including yourself) will be utilizing the Bio-Innovation Lab?
*
How many desks will you need for your team?
*
Community
Why do you want to be part of the Bio-Innovation Lab?
*
We encourage teams to "pay it forward" to the community. Please indicate a topic on which you could contribute to a roundtable discussion, or a community-building event you could organize during your time at the Bio-Innovation Lab, if accepted.
*
If accepted, when are you available to move in?
*
How long do you see yourself utilizing this workspace?
*
0 - 3 months
3 - 6 months
6 - 9 months
9 - 12 months
12 - 18 months
18+ months
How many employees do you expect to have in one year?
*
0 - 2
3 - 5
6 - 8
9 - 10
10+
What other primary positions are you seeking to fill in the next year?
*
Where are you currently located?
*
Please describe your current work environment.
*
What type of work environment are you looking for?
*
What services would you want/need from the Bio-Innovation Lab?
*
How often will you be needing a conference room?
*
More than once a day
1 time a day
Few times a week
Less than once a week
Never
How did you hear about the Bio-Innovation Lab?
*
Is there any additional information that you think would be helpful to explain?
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