Application

SELECTION PROCESS

1. The Application should be completed in full and submitted to Innovations Incubator along with a Business Plan and other documents and presentations that will allow the management of Innovations Incubator to understand your business.

2. The Application and supporting material (package) may be submitted electronically to info@innovationsincubator.com or directly to Christine Mackay at 480-782-3035.

3. Follow receipt, the applicant’s package will be reviewed by the management and Advisory Council of Innovations Incubator.

4. The management of Innovations Incubator will communicate with the applicant within 45 days of receipt of package. Select applicants may be invited to meet with the management of Innovations Incubator.

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Business Name:

Principal Officer(s) and Title:

Contact Information:

a. Telephone:

b. Fax:

c. Email:

d. Current Address:

Briefly describe the idea or catalyst for your business. Include a description of your business, products it will produce, services it may provide, market potential, business development goals, etc:

Have you attached your business plan? Yes No

When was the business established:

What is ownership structure of the business: Sole Proprietorship General Partnership Limited Liability Company (LLC) Limited Partnership (LP) Limited Liability Partnership (LLP) C Corporation S Corporation

Briefly describe the current status of the business (planning, proof of concept, commercialization, etc.):

Do you generate revenue? If so, please detail annualized volume:

What amount of funding have you raised:

Please describe the type of financing you have utilized (self, seed, grants, VC, etc.)

Briefly describe your current and future financing plans (12, 24 & 36 months):

13. How many employees (full time equivalents) do you currently engage? How many do you expect

What are your expected space needs:

a. Wet lab square feet:

b. Dry lab square feet:

c. Office square feet:

d. Storage square feet:

What is your expected date for move in?

[OPTIONAL] Do you have any special requirements or needs for your space within Innovations?

Submit