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Click Here for a PDF version of the application.

 


Application

Programs | Facilities | Management Team | Business Advisory Board | Application


Thank you for your interest in the bwtech@UMBC. The incubator is currently leasing space to tenants with an information technology or biotechnology focus or research and development component to their business. Our real estate is first class and competitively priced. Plus the value added from UMBC is unparalleled elsewhere in the market.

There are three parts to the Incubator Program Application. Once you complete part 1 below, you will be directed to a link to Part 2. You can also link directly to the other two sections here:

Executive Summary
Sources and Uses Statement

1.

Business Name

  Principal Officer(s) and Title(s)
  Telephone Number
  Fax Number
  E-Mail
  Street Address
  City

State

  Zip Code
 

2. a.

Nature of Business
(Brief description of product/service and why your product/service will be successful):
Nature of market; submit product brochures and company literature if available. Complete Executive Summary section below.

   
  b.

What intellectual property do you have, and who owns the rights to it?

   
 

3.  

Brief Background of Principal Officer(s). (Append resumes)
List at least two previous employers and contacts.

   
 

4.  

Date Business Established

   
 

5.  

Current Status of Business.
(e.g., working on prototype, product in advanced development, etc.).

   
 

6.  

What is the legal structure of your company?

    Sub-S LLC Corporation Other:
 

7.  

Number of Employees (including Principal Officer)?

    Full-time:

Part-time:

 

8.

 

Anticipated number of new jobs created?

    Year 1: Year 2: Year 3:
 

9.

 

Type and Amounts of Financing to Date:

    a. Complete and submit Sources and Uses Statement for next 18 month period.
    b. Email your cash flow statements for the next 12 months (to techcenter@umbc.edu).
    c. A personal financial statement may be required.
 

10.

 

Status of Business/Marketing Plan:

    Business/Marketing Plan Completed and Available for Review. (Please email to techcenter@umbc.edu.)
    Business/Marketing Plan in Preparation.   Date Available:
    Business/Marketing Plan Not Started
 

11.  

Do you need help in writing a business/marketing plan?

    Yes No    
 

12.  

What types of business assistance do you believe your company needs?

   
 

13.
 

Will your company be seeking potential UMBC collaboration?
Please define:

    Research and Development with Faculty
    Student Internship
    Student Employment
    Other:
 

14.

 

Approximate Space Requirements:

    Square Feet - Office
    Square Feet - Labs
    Square Feet - Other (Specify):
 

15.  

Special Facility Requirements? (Electrical, ventilation, floor load, etc.)

   
 

16.  

Approximate date you desire to locate in the incubator?

   
     

17.

Name

  Electronic Signature
  Title
  Date
     

   

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