Application Form
The deadline is Friday, November 15, 2024.
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Role at Company
*
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
-
Area Code
Phone Number
Is your company incorporated?
*
Yes
No
Approximate date of incorporation:
-
Month
-
Day
Year
Date
Company Website URL
Non-confidential description of the technology (max 200 words). Please provide enough description to allow us to match you with a student with relevant background and to understand what your project entails (for example, "a platform technology to discover new drugs" is NOT an acceptable answer).
*
0/200
Briefly describe your business model (max 200 words).
*
0/200
Where are you in patenting this technology?
*
No patents at any stage
Draft
Provisional
Patent filed
National phase (pursuing international patents)
Other
Date patent(s) was/were filed (approximately)
*
-
Month
-
Day
Year
Date
Do you have an existing relationship with a law firm?
*
Yes
No
Please list relationship, law firm, attorney.
*
Where did your primary technology come from?
*
Biotech/Pharma
University
Other
What was the source? (e.g., "UC Berkeley," "Genentech," "My invention")
*
What category does your technology fit into? (Check all that apply)
*
Cell therapy
Diagnostics
Gene therapy
Medical devices and hardware
Research tools
Software
Synthetic biology
Therapeutics (small molecules & biologics)
Other
In order to help us match you with appropriate attorneys and students, please indicate the general scientific space that you focus on in terms of IP.
*
Biochemistry
Biology
Chemical engineering
Chemistry
Electrical engineering
Mechanical engineering
Software
Synthetic biology
Other
University of California campus affiliation, if any (does not affect your eligibility)
*
Please Select
None
Berkeley (including LBNL)
Davis
Irvine
Los Angeles
Merced
Riverside
San Diego
San Francisco
Santa Barbara
Santa Cruz
Please acknowledge: My company might be matched either with a student team at Berkeley Law or UC Law San Francisco.
*
I agree
Please acknowledge: Submitting this form does not create an attorney-client relationship.
*
I agree
Save
Submit
Should be Empty: