NM FAST SBIR/STTR Intake Form
Small-Business Innovation Research (SBIR) and Small-business Technology Transfer Research (STTR) Programs Intake Interview Form
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Contact Information
How did you hear about the NM FAST program? *
Name:
Please enter your first name followed by your last name
Email: *
Phone: *
Business Identifying Information
Business Name: *
Business Street Address Line 1: *
Business Street Address Line 2:
Business City: *
Business State: *
Business Zip Code: *
Please only input your base 5 digit zip code.
Business Website
NAICS codes (up to 4)
If you have not determined the NAICS codes for your organization at this time, you can view the breakdown of NAICS codes at https://www.census.gov/eos/www/naics/. If you have determined your NAICS codes, please input all applicable ones below.
Business Eligibility
These questions are used to determine your eligibility for submitting SBIR/STTR proposal packages as per SBA defined programmatic guidelines.
Is business organized as a for-profit business in the U.S.? *
Does your business have less than 500 employees? *
How many people does your business employ? *
Is your business at least 51% owned by individuals that are U.S. citizens or permanent residents? *
The Technology/Innovation
Please include no proprietary information in your responses below.

SBIR/STTR funding is intended for technology innovations with commercial potential that are at the phase of proving feasibility and/or building a small-scale prototype.
Describe your product or service for commercialization *
Do you have legal rights (through licensing) or protection (through patenting) on this technology?
Clear selection
From the list below, please select your level of technology development
Clear selection
Principal Investigator (PI)
The PI must be primarily employed (>20 hours/week) by the business over the full duration of the SBIR award period.
Have you identified someone in your business that can serve as PI? *
Briefly describe PI qualifications.
Small-business Technology Transfer (Optional)
The five largest agencies, DoD, HHS(NIH), DOE, NSR, and NASA, offer a companion program, called Small-business Technology Transfer Research (STTR).  The STTR program requires that 30% - 60% of the research be performed by a research institute (RI), such as a university or national laboratory.
For the purposes of an STTR funding only, have you identified a Co-PI from a research institution (RI)?
Clear selection
If Yes, briefly describe Co-PI qualifications.
Business Laboratory Facilities
The SBIR program requires 67% - 100% of the research and technology development be performed by the small business.  The STTR program requires 40% - 70% of it to be done by the small business.
 Does the small business own, or have access to, research and development space?
Clear selection
Additional Services for Underrepresented Businesses
Some additional services may be available for women - or minority - owned small businesses, or businesses which reside in a Historically Underutilized Business (HUB) zone.
Is your business at least 51% owned by women?
Clear selection
Is your business at least 51% owned by minorities?
Clear selection
Is your business at least 51% owned by historically socially or economically disadvantaged individuals?
(Additional criteria can be found at https://goo.gl/CZJuHF)
Clear selection
Is your business at least 51% owned by a Service Disabled Veteran?
Clear selection
Is your business at least 51% owned by Native Americans?
Clear selection
Does your business reside in a HUB zone?
(You can put your business address at http://map.sba.gov/hubzone/maps/ to verify.)
Clear selection
SBIR/STTR Experience
These questions are used to determine your experience with the SBIR/STTR programs, your level of knowledge on these programs, and your overall experience with putting together proposal packages for governmental funding opportunities.
Do you have proposal writing experience?
Clear selection
Have you applied for an SBIR/STTR award before?
Clear selection
If you have already done your own research on funding agencies, to which one(s) do you plan to apply?
Further, if you have researched potential topic or subtopic areas, what are they?
Have you attended any NM FAST sponsored SBIR/STTR workshops in the past?
Clear selection
If yes, which workshop did you attend?
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