Oakland University Incubator

incubator software for business incubators

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Company Name:
Contact Name: *	First: Last:
Title/Role:
Address 1:
Address 2:
City:
State:
Zip Code:
Business Telephone:
Cell/Mobile Telephone:
Fax Number:
Email: *
Re-enter Email:
Form of Business:	Sole Proprietorship Incorporated Partnership LLC Not incorporated at this time Other
Company Type:
Year Business Established:
Current Status of Business:	more info...
Product & Service Description:
Do you own Intellectual Property?	YN
If yes, form of Intellectual Property:	Trade Secrets Patents Patents applied for Trademarks Inventions owned, patent application not filed Other
Do you have a Company Profile?	YN
If yes, please attach your (non-confidential) Company Profile
Status of Business Plan:	Completed In Process Not Started
Status of Financial Forecast:	Completed In Process Not Started
Do you require assistance to complete your Business Plan? YN
Do you require assistance to complete your Financial Forecast? YN
Do you have an Attorney?	YN
Do you have an Accountant?	YN
Do you have a Banker?	YN
Are you interested in becoming: Resident Tenant - Start-up and emerging companies, OU faculty and interested SE Michigan private sector entrepreneurs, at the proof-of-concept or prototype stage seeking commercialization services and INCubator leased space. Affiliate Member - Start-up and emerging companies, OU faculty and interested SE Michigan private sector entrepreneurs, at the proof-of-concept or prototype stage seeking on-site as well as virtual business development and commercialization services but are NOT interested in incubator leased space. Corporate Accelerator - Growth and diversification stage Michigan corporations seeking access to on-site as well as virtual business development and commercialization services to "spin-off" new IP products and services but are NOT interested in incubator leased space. International Corporate Accelerator Program - Growth and diversification stage international corporations seeking access to on-site as well as virtual business development and commercialization services to "spin-off" new IP products and services in the State of Michigan but are NOT interested in incubator leased space.	Resident Tenant Affiliate Member Corporate Accelerator
If resident tenant:	Number of Employees to be located at the Incubator Office Space required: (approximate sq.ft.) Other Space required: (approximate sq.ft.) Other Space description:
Indicate the business commercialization services provided by the OU Incubator in which you are interested.
Applied Technology in Business Center for Biomedical Research Center for International Programs Center for Executive and Continuing Education Center for Robotics and Advanced Automation Eye Research Institute Fastening and Joining Research Institute Institute for Action Research and Professional Development Ken Morris Center for the Study of Labor and Work Pawley Institute for Lean Learning Product Development and Manufacturing Center	Business Planning & Strategy Development Identifying Capital and Financing Options Market Research Identification of Business and Industry Partners and Alliances Oakland University Centers and Institutes OU Faculty Sponsored Research OU Student Interns Incubator Conference Rooms Product Development Research Labs I.P. Consultation Grant Writing & Administration Other
How did you hear about the OU Incubator?
	Automation Alley SmartZone Internet Search Engines (Google^TM, Yahoo®, etc.) Oakland University Website Michigan Economic Development Corporation (MEDC) Michigan Small Business Technology Development Center Newspaper Article/Ad Radio Television Direct Mail Macomb County Planning & Economic Development City of Sterling Heights Oakland University Faculty, Staff or Alum Referral Name: Company/Organization: Other
All of the information provided in this inquiry is accurate and complete to the best of my knowledge and I am authorized to release this information. I certify that I have not submitted any confidential or proprietary information and acknowledge that no confidential relationship has been established with OU Incubator. I agree