1. How long have you been working with the technology idea that you are proposing today?

Select One Less Than 6 Months Less Than 1 Year 1 Year 2 Years 3 Years 4 Years 5 Years or More

2. Including yourself, how many members comprise your management team?

Select One Only Myself 2 Members 3 Members 4 Members 5 Members 6 Members or More

3. What are the collective goals of the individuals involved with your proposal?

4. Tell us about your technology concept and your vision for its use:

1. Describe an overview of the technology that your concept will need to be fully functional:

2. Describe what your product/idea will accomplish when fully developed:

3. Describe how the technology you wish to develop will:

Provide products and/or services:

Respond to the needs of its' major target markets:

Provide opportunities for follow-on products:

1. Is your technology idea ready for patent application?

Select One Yes No Not Sure Already Patented

2. Have you prototyped the technology or run a simulation of the application?

Select One Yes No

3. Describe the competitive technical advantages your application has:

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