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LaunchLab Intake Form
Please complete this Intake form so we can assist you. Someone from the LaunchLab will be in contact with you within 24 hours! Thank you!
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* Indicates required question
Email
*
Your email
Email
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Please let us know your preferred pronouns
Your answer
What is your WVU ID number? (If Applicable)
Your answer
Please check the box that best describes you.
*
Current WVU Tech Student
West Virginia Community Member
West Virginia High School Student
West Virginia College Student (Not attending WVU Tech)
Required
If you are a WVU Tech student, which college do you attend?
College of Business, Humanities and Social Sciences
Leonard C. Nelson College of Engineering and Sciences
N/A
Clear selection
If you are a West Virginia college student, what is your major/minor?
Your answer
If you are a West Virginia college student, what is your highest level of education so far?
Freshman
Sophmore
Junior
Senior
Masters Program / Professional
Doctoral Program
Clear selection
Which of these best describes the industry category for your idea?
*
Consumer services product
Technology
Finance
Healthcare
Communication services
Industrial
Energy
Materials
The arts
Other:
Required
Is your idea a service, product, new work or other?
Service
Product
New work (play, film, television, etc.)
Other:
Clear selection
Have you conducted an intellectual property search?
*
Yes
No
I don't know
What is the proposed name of your idea or business?
*
Your answer
Please provide a short description of your idea.
*
Your answer
Are you or a family member active military or a veteran?
*
Yes
No
Does your idea or business currently have an online presence? (Instagram, Twitter, website...)
*
Yes
No
Is this idea or business part of a team?
*
Yes
No
If other team members are involved, please provide their names & emails.
Your answer
How far along is your business?
Ideation (I have the idea)
Design (I have the visual of my idea)
Prototype/Proof of Concept (I have something that functions)
I registered my business
I have received funding for my idea
Clear selection
Anything else you want us to know?
Your answer
How did you hear about us?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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