Spark Innovation Center:

CLEANTECH ACCELERATOR

An early-stage business accelerator that offers a comprehensive set of services to support promising cleantech companies. Broadly, we consider solutions that address climate change, resiliency, and natural resource conservation.

Please use the form below to apply if you would like to be considered for acceptance in this accelerator.

Name of Person Submitting Application *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Technology and Intellectual Property:

Describe your technology (not the actual products) and what the technology does (NOT how it works) in plain English: *

Describe additional developments, including technical breakthroughs, needed to bring this technology to the market: *

Business Model

Describe how your company will make money (i.e., the different types of revenue you will receive and corresponding costs): *

Management Team

List their names, their roles and how much of the company they own. Attach a single file containing a short resume or bio for each team member at the end of this document.

List Management Team Members:

Describe any management assistance you think you will need:

Strategic Partners

Describe any technical, financial, legal or business development partners critical to your success:

Benchmarking Information:

This information is used by UTRP to measure the economic impact of the program. All information will be kept strictly confidential and ONLY aggregate information of our total client base will be provided to our funding sources.

Number of Employee's *

Total monthly payroll in dollars (USD): *

Total other monthly costs in dollars (USD): *

Submit Application

Attach Executive Summary (optional)

Click or drag a file to this area to upload.

Management Team Resume and/or Bios *

Click or drag a file to this area to upload.

Today's Date *

(MM/DD/YYYY)

Application Statement *

I hereby certify that, to the best of my knowledge, the information provided herein is true and accurate. I am aware that any statements made by me that knowingly misrepresent the facts will result in the denial of my application.

Name