Calit2 » Application for Incubator Space

Thank you for your interest in the CALIT2 TechPortal at UCI.

Application for Incubator Space

Company name *

Phone *

Email *

Overview *

Please provide an overview of the technology to be worked on at the incubator, the target markets for this technology and commercial viability.

Names of UCI Inventors *

List the names of UCI inventors of the technology to be further developed at the incubator (including the UCI case numbers for the inventions, if known) and summarize the current status of any licensing discussions underway with UCI for the intellectual property rights (note that it is a requirement that the proposed project be based on UCI intellectual property).

Current Funding Status *

Summarize the current funding status of your company (e.g. “friends and family” investors, angel investors, VC funding, etc.).

Current Working Capital *

The company must have initial seed capital in order to locate at the incubator.

Business Bios

Bios of any business people working with the company.

Development Milestones *

Provide a list of the key technology development milestones to be worked on at the incubator and an anticipated timeline to achieve each of these milestones.

Ongoing collaborations with UCI

Describe any planned or ongoing collaborations with UCI professors and labs/centers that your company currently has for this technology.

Number of Workers *

How many people do you estimate will be working at the incubator.

Instrumentation and Hardware

List any instrumentation and hardware you are planning to bring in to your space at the incubator.

Select the UCI recharge facilities (if any) you intend to use

Preferred Move-in Date *

Additional Comments

Provide any other points you would like the committee to consider

Executive Summary *

Click or drag a file to this area to upload.

Upload a copy of the executive summary submitted with the record of invention to UCI’s Office of Technology Alliances

Name

TECHPORTAL