QB3 early-stage mentoring

Elevator Pitch
What are you doing, in five words or less?*

0/5
We're in the elevator for 30 seconds. Give us your pitch.*
Contact Information
Your Name*
Your Email Address*
Your Mobile Phone Number (in case call or text is necessary)*
Please enter a valid phone number. We will not share your data.
Company/Team
Company Name (if applicable)
Company Location*

Street Address

Street Address Line 2

Postal / Zip Code
Are you incorporated? (This does not affect your eligibility for this program.)*

YesNo
Please briefly describe yourself and, if applicable, your team. (E.g. "I am a Berkeley associate professor of chemistry with a postdoc who is working on this project.") *
Technology

Please only enter non-confidential information. If you are connected to mentors, they will sign NDAs.
What is the problem you are solving or the need you are meeting?*
Who is your customer? How do you know they need your technology?*
Have you thought about what your market or customer is?
What is your solution?*
Can you provide data that would give us confidence that this is worth pursuing?*

YesNo
We're going to have trouble helping you at this point; the program is intended to help those applicants who have a technology that has got a reasonable chance of technical success. If you do manage to get initial data, we welcome your application in the future.
Please briefly explain.*
Or upload a file or two. (25MB max)*

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What differentiates your solution from others in the field?*
What is your IP situation? Any patents filed, provisional or nonprovisional? Plans to license? (Not required that you have any patents at this stage.)*
If you have a non-confidential deck or executive summary, please upload it. (25 MB max please)

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Your Needs
Let us know what you are looking to get from your mentors.*
How did you hear about this program?*
We'll get back to you within one week on the status of your application.
Should be Empty:

Elevator Pitch

Contact Information

Company/Team

Technology

Your Needs