2019 Commercialization Academy Application

It is highly recommended that you thoroughly review this application, gather all materials, and prepare your answers BEFORE completing the application online. You CANNOT save the online application and return to it at a later time.

A printable version of the application is located in the Quick Links section on the right hand side of this page.



The Commercialization Academy is only open to US Citizens or US Persons. US Persons is defined as: a) any individual who is granted U.S. citizenship; b) any individual who is granted U.S. permanent residence ("Green Card" holder); (c) any individual who is granted status as a "protected person" under 8 U.S.C. 1324b(a)(3); and (d) any corporation, business, organization/group organized or incorporated in the United States under U.S. law.

Anyone not meeting these definitions is ineligible to participate in the Commercialization Academy.

*Prior Commercialization Academy Companies that have won prize money are not eligible to apply.













(TBD if not named)


Select one or more of the following category that best describes your technology.













Please limit answer to 500 words or less.



For the purpose of this application and questions, an "executive" is considered to be any member of the executive leadership of the company, including the Chief Executive Office, Chief Financial Officer, Chief Marketing Officer, Chief Innovation Officer, Chief Operating Officer, Executive Director, or similarly situated staff member by any other name, or a staff member who holds over 5% in shares of the company.


Include the following: first and last name; position or title, and percentage of the company owned. Indicate with an * which individuals will be relocating to the Mohawk Valley for the accelerator.


NOTE: 'Yes' answers to the following questions will NOT automatically disqualify you from consideration.

'Yes' answers to any of the below questions will require you to upload a document named "Background Review for Founders and Executives" to 'File Attachments' at the bottom of this form. This document should include: individual's name, the timing, nature and outcome of the events, and any relevant details.
















NOTE: 'Yes' answers to questions below require you to upload a document named "Company Information" to 'File Attachments' at the bottom of this form. Please answer all 'Yes" questions in one document.






Enter None if you do not have a EIN Number






If 'Yes', please submit a list and describe the status and results.


If 'Yes', please submit a list and describe if/how these experiences have helped advance your development.


If 'Yes', please list the amount and source of money raised (ie. self, family, friends, seed, angel, venture, Series A convertible note, debt)


If 'Yes', please list names, affiliation and percent of business each owns




If 'Yes', please explain.





Depending on the stage of your business, you should have one of the following: a slide deck, business model canvas; business case, (business plan - light), or a full business plan, plus full financial reports and financial pro formas).

NOTE: You can find the 'Basic Elements of a Business Case' for a startup to the right of this form in the Quick Links section.



Please gather to submit the following documents:
1. Current Profit and Loss, Cash Flow, and Balance Sheet statements
2. Three years of pro forma Profit and Loss, Cash Flow, and Balance Sheet statements
3. Three references, and/or letters of support, from people who know the company founder and his/her work. Supply letters for each individual founder if more than one.


NOTE: You can find the 'Basic Financials' for a startup to the right of this form in the Quick Links section.



*Only if necessary
















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