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ASCEND Company Application/Nomination
Please use this form to submit a company for consideration for the ASCEND Business Advising and Company Pitch
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* Indicates required question
Company Name
*
Your answer
University Affiliation
University of New Mexico
New Mexico State University
University of Montana
Montana State University
University of Hawaii
University of Alaska Fairbanks
University of Idaho
University of Wyoming
University of Nevada Las Vegas
University of Nevada Reno
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Technology Description
*
Your answer
Name of Inventor
*
Your answer
Email Address of Innovator
*
Your answer
Technology Stage of Development
*
Idea
In vivo PoC
In vitro PoC
Toxicology/Pharmacology Data
IND
Clinical
Prototype
Final Product/Device
Number of Employees
0-5
6-10
11-50
>50
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What do you need help with? How can ASCEND Business Advising help move your technology forward?
*
Your answer
Would you benefit from a $5,000-10,000 microgrant?
Yes
No
Maybe
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