BioStartup 2024

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BioStartup 2024

Email *

Brought to you by:

Your Name *

Your Company Name, Mailing Address and Zip *

Your Phone Number *

Business URL (if Applicable) *

Your LinkedIn URL *

Year Company Founded

Target Business Sector

Please tell us about your idea or company in a single paragraph.

The Problem - What problem are you solving?

Solution Description – please describe your solution to your stated problem

My company is:

Pre-revenue

Post-revenue

Does your solution need regulatory approval?

Yes

If yes, have you obtained regulatory approval and what type? FDA, CE Mark, ISO

Other:

Required

Is there reimbursement for your solution?

Yes

Do Not Know

What Intellectual Property do you have?

Yes

How is your company organized?

S Corp

C Corp

B Corp

LLC

Sole Proprietorship

Not Yet Organized

Please tell us briefly about a cofounder (s) and/or management team.

How many employees do you have? (enter 0 if none)

What are you hoping to gain from participating in the BioStartup Accelerator Program?

Participation and payment agreement:

I agree to actively participate and complete all work on a timely basis

I agree to remit the $750 BioStartup Program fee within 30 days of being accepted into the program (payment plan available)

My business is currently or will be Maine-based

Required

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