Accelerate Program Application - Fall 2021
We use this application to learn about your concept, understand the commercial potential, and determine whether you can benefit from our services. Please complete this application to the best of your ability. Note: changes cannot be made after final submission of this application.
 
The Accelerate Fall 2021 cohort session runs on Tuesdays from 3PM-5PM starting October 5th and will be an 9-week remote program conducted over Zoom. If you have any questions about the application process or program, please contact our team via email: https://advantage.oregonstate.edu/advantage-accelerator/team

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Tell us about your team
Business Name *
If you do not have a formed business yet, make up a team name now to use in this program
Contact Name *
Please include your full name. This should be the information for the person taking the lead on this company
Email Address *
Please note: we will be using this email address for further communications about the program and future opportunities. We will add your email to our mailing list. You may unsubscribe at any time.
Phone Number *
Please include the primary phone number you would like us to use to contact you
Mailing Address *
Please include the full mailing address you would like us to use to contact you
I am a(n)... *
Please select the option that best represent your affiliation with OSU
If you indicated an affiliation with OSU in the previous question, please tell us which college you are primarily associated with
If you are a student, what specifically is your major? If you are an OSU faculty/staff member, what is your department/office if not represented in the above options?
How did you learn about the Advantage Accelerator?
Clear selection
Other Team Members
The other people on your team involved in the business, if any. DO NOT input the information of the contact person again.
Second Team Member Name
Second Team Member Email
Third Team Member Name
Third Team Member Email
Any other team members actively part of this company? Please include their full name, email and phone number below.
Tell us about your business
Briefly describe your product/service
Who are your target customers?
Describe the problem your product/service addresses
What differentiates your solution from competitors?
What are the key strengths of the people on your team?
Form of Current Company *
Please select the current legal form of your company, if formed. Note: the Accelerator accepts only C Corps and manager-managed LLCs. Entrance into the Accelerator for other forms of entities will need to change their legal status.
Company's BIN #
(if you have one. If you have not formed a company yet, you do not have one.)
Currently Selling Products or Services? *
Select "Yes" if currently selling products and/or services. Otherwise, select "No."
What intellectual property (IP) have you filed in association with your business?
Types of Business Development Assistance Requested
Please check all that apply
Is there anything else you want us to know about your business or team?
The next section regards voluntary demographic data. This information is only collected to assist us in improving the program.
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