APPLICATION You must have JavaScript enabled to use this form. Name of Business Product * Abstract: Provide a brief background on the product you want to develop with the Proof of Concept funds. (Limit response to 1,000 words) * **Describe customer segment, and explain how the proposed product aims to solve a problem for them. Include competitor analysis, and how this product differentiates from other competitors. ** Company or Project Industry * No Yes Does your product currently have Intellectual Property protection? If yes, state the type of IP on your product such as Patent, Trademark, Office Copyright, etc. Yes No Yes Is the proposed product currently incorporated? If yes, state incorporation status. Yes Select product's stage of development. Use stages of development document as reference. Tech Validation Prototype Pilot Production Other Select Other Upload evidence supporting your selected stage of development. Evidence must include a business model canvas and other documentation on the product. File 1 Files must be less than 2 MB.Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml. File 2 Files must be less than 2 MB.Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml. File 3 Files must be less than 2 MB.Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml. Propose a Development Plan for product's next stage of technological advancement. Include activities, and a detailed timeline. (Timeline may not exceed 4 months) * BUDGET INFORMATION The following form is designed to help you identify potential costs associated with developing your product. Please refer to this Budget Template in filling out the Budget Form. When filling out the form, allocate a total dollar amount for each category. Total project budget must not exceed $25,000.00 and total timeline must not exceed 4 months. This budget should be developed together will all members of your team. This amount of funding will give you the ability to do proof-of-concept development around your technology. Once complete, please upload this to the online application form. Requested Amount * Upload budget form * Files must be less than 2 MB.Allowed file types: gif jpg png txt odf pdf doc docx ppt pptx xls xlsx xml. Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response
