Elevator Pitch
What are you doing, in five words or less?
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0/5
We're in the elevator for 30 seconds. Give us your pitch.
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Contact Information
Your Name
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Your Email Address
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Your Mobile Phone Number (in case call or text is necessary)
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Please enter a valid phone number. We will not share your data.
Format: (000) 000-0000.
Company/Team
Company Name (if applicable)
Company Location
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Street Address
Street Address Line 2
Postal / Zip Code
Are you incorporated? (This does not affect your eligibility for this program.)
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Yes
No
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.")
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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?
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Who is your customer? How do you know they need your technology?
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What is your solution?
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Can you provide data that would give us confidence that this is worth pursuing?
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Yes
No
Please briefly explain.
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Or upload a file or two. (25MB max)
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What differentiates your solution from others in the field?
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What is your IP situation? Any patents filed, provisional or nonprovisional? Plans to license? (Not required that you have any patents at this stage.)
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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.
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How did you hear about this program?
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Please Select
Media Story
Newsletter
Departmental Email
Social Media
Web Search
Word of Mouth
Other
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We'll get back to you within one week on the status of your application.
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