BioIncubator Tenant Application

Thank you for your interest in the LifeBridge Health BioIncubator at Sinai Hospital. Please complete and submit this form below, as only those who have done so are eligible for lab spaces as they become available.

Contact Information

Address Line 1 Address Line 2 City, State, Zipcode

Company Information

Brief description of product or service and nature of market or market potential; if available, attach product brochures and company literature in "File Upload".

(e.g., concept stage, seed stage, initial product development, prototype development, advanced product development)

Please attach a copy of your business plan and a brief description of business milestones. If available, please also attach product brochures and company literature.

Drag and drop files here or

BioIncubator Lab Space

Please check the box below if you have had a tour of the BioIncubator. If you have not been on a tour, please contact us at bioincubator@lifebridgehealth.org to schedule one.

Number of employees to be housed at the LifeBridge Health BioIncubator at Sinai Hospital and timeline for future employees. Please also indicate the estimated frequency the employees can be expected to be on-site in an average week and month.

Please choose from the following options: - Small laboratory (approximately 108 sq. ft.) - Medium laboratory (approximately 165 sq. ft.) - Large laboratory (sizes range from 285-340 sq. ft.) - Small office space (approximately 100 sq. ft.) - Multiple spaces (you may request more than one space - please use the next prompt to indicate the number and sizes of the spaces needed)

Select or enter value
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If you selected "Multiple spaces" in the previous question, please indicate the number of spaces needed and specify the sizes. Small laboratory (approximately 108 sq. ft.) Medium laboratory (approximately 165 sq. ft.) Large laboratory (sizes range from 285-340 sq. ft.) Small office space (approximately 100 sq. ft.)

While we will make all efforts to accommodate your request, we cannot guarantee any move-in date, as it is dependent upon space availability.

Please state any special facility, service, or equipment requirements you have.

Is your company insured? Please check the box below if you have the indicated coverage. We require proof of the following prior to the provision of space: - general liability coverage - property insurance - employer’s liability and worker’s comp (if applicable) - excess umbrella coverage

How did you hear about the LifeBridge BioIncubator at Sinai Hospital?

Please type out your full name, title, and today's date. This is used in lieu of a handwritten signature to confirm that you have completed this form honestly and to the best of your abilities.

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