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Application Form

Application Instructions

Company Information

Name of Business

Business Address

City

State

ZIP

Primary Contact

Name

Title

Business Phone

Ext

Mobile

What type of entity is your business?

What year was the company formed?

In 50 words or less, describe your business, its products, and its technology

Do you have a Pitch Deck?

Yes

Product Information

What significant problem does your product address?

Where are you in the product development cycle? Do you have a working prototype and/or test results?

Market Information

Have you identified your initial target market?

Yes

Who is your primary competitor(s)?

How will you beat your competitors?

What are the major barriers you are facing?

Financial Information

Please list those people and/or organizations that have ownership stakes in your company and the percentage of ownership they have. NOTE: Must total 100%.

Owner Name	%	Operations
Owner Name	%
Owner Name	%
Owner Name	%

How are you currently funding your company and how long will this funding last?

Are there any outstanding legal claims, material commercial disputes, or judgements outstanding or issued against your company, any predecessor company, or against the founder(s) and/or key leadership of the company?

Intellectual Property

Do you have any intellectual property (Trade Secrets, Patents, Trademarks, Copyrights, Industrial Design Rights, Plant Variety Rights, or Trade Dress) and if so, how do you plan to protect them?

Management and Company Information

Please provide the following information on all the primary members of your team.

Primary Members
Name Area of Expertise Primary Area of Responsibility RIT Affiliation	Add a Member Remove

Uploads

Resumes

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Pitch Deck (optional, provide if available)