ISU I-Corps Site Program Application

Required fields are indicated with a red *

Section 1: Team Members

Please provide the name, position, academic department and email address for each team member. There is a limit of five members per team; Academic Leads may participate on only one team per cohort. Participation in all sessions by Entrepreneurial Lead is mandatory; the Academic Lead is strongly encouraged to engage in all sessions. Participants are encouraged to include an undergraduate student as a second entrepreneurial lead. Note that single member teams can be accepted into the program.

Team Member 1: Entrepreneurial Lead

Last Name*

First Name*

Position*

Department*

Email*

Team Member 2: Academic Lead

Optional: Although strongly recommended, an Academic Lead is not required for participation in the program.

Last Name

First Name

Position

Department

Team Member 3: Mentor

(Optional; a mentor is not required for participation in the program.)

Last Name

First Name

Position

Department/Organization

Team Member 4: Second Entrepreneurial Lead

(Optional, participants are encouraged to include an undergraduate student as a second entrepreneurial lead.)

Last Name

First Name

Position

Department/Organization

Section 2: Project Area

Please briefly list the scientific or technical area for the project (e.g. engineering, materials science, life science).

Project Area*

Section 3: Invention Disclosure

Please check the appropriate box to indicate whether an invention disclosure has been submitted to the Iowa State University Research Foundation.

Invention Disclosure

Yes

If yes, please provide the ISURF case number

An invention disclosure is not a prerequisite for participation in the ISU I-Corps Site program. However, if an invention disclosure has not yet been made on the innovation, a conversation with the Office of Intellectual Property and Technology Transfer is recommended prior to the start of the program.

Section 4: Technology Overview

Please provide a brief (not more than 250 words) description of your technology.

Technology description*

Competitive Landscape*

Please provide a brief description of your competition and why your technology is different.

Commercialization Potential*

Please provide a brief explanation of the commercialization potential of your technology.

Participation*

Why do you want to participate in I-Corps?

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