**Before you begin, please note that you will need to have a head shot and bio for each team member before you can submit the application.** Personal Information (Please fill out this section if you are applying on behalf of a team and you are not one of the team member) First Name Last Name Phone Number Email Address UNH College or School (If applicable)Please select... Carsey CEPS COLA COLSA Cooperative Extension HHS Paul College Thompson School Available Team Member Roles Entrepreneurial Lead (typically a postdoctoral researcher, graduate student, or other student, who possesses relevant technical knowledge and a deep commitment to investigate the commercial landscape surrounding the innovation)Technical Lead (serves as the principal investigator and project manager, who deeply understands the innovation; often assumed by a university faculty or staff member)Industry Mentor (typically a seasoned entrepreneur or business executive with 10+ years of industry experience)Undecided Ready to start a team? If so, please provide the information below to register yourself and up to two additional teammates. **Individual registrants will be contacted for team placement. First Name Last Name Email Address Company/University Team RolePlease select... Entrepreneurial Lead Technical Lead Industry Mentor Undecided UNH AffiliationPlease select... Alumni External Faculty Grad Post Doc/Research Scientist Staff Undergrad Biography Headshot Would you like to add an second Team Member? Please select... Yes No Teammate #2 (Optional) First Name 2 Last Name 2 Email Address 2 Company/University 2 Team Role2 Please select... Entrepreneurial Lead Technical Lead Industry Mentor Undecided UNH Affiliation 2Please select... Alumni External Faculty Grad Post Doc/Research Scientist Staff Undergrad Biography 2 Headshot 2 Would you like to add a third Team Member? Please select... Yes No Teammate #3 (Optional) First Name 3 Last Name 3 Email Address 3 Company/University 3 Team Role 3 Please select... Entrepreneurial Lead Technical Lead Industry Mentor Undecided UNH Affiliation 3Please select... Alumni External Faculty Grad Post Doc/Research Scientist Staff Undergrad Biography 3 Headshot 3 Would you like to add a fourth Team Member?Please select... Yes No Teammate #4 (Optional) First Name 4 Last Name 4 Email Address 4 Company/University 4 Team Role 4 Please select... Entrepreneurial Lead Technical Lead Industry Mentor Undecided UNH Affiliation 4Please select... Alumni External Faculty Grad Post Doc/Research Scientist Staff Undergrad Biography 4 Headshot 4 Would you like to add a fifth Team Member?Please select... Yes No Teammate #5 (Optional) First Name 5 Last Name 5 Email Address 5 Company/University 5 Team Role 5 Please select... Entrepreneurial Lead Technical Lead Industry Mentor Undecided UNH Affiliation 5Please select... Alumni External Faculty Grad Post Doc/Research Scientist Staff Undergrad Biography 5 Headshot 5 If you do not have a team formed, someone from UNHInnovation will contact you for help with forming a team. Please indicate the best way to reach you. PhoneEmail Please provide a brief description of your venture, project or idea. Indicate the Innovation or Idea name if you have one. Project Name Description What stage of development is your innovation in? Development StagePlease select... Pre-Disclosure Disclosure Patent Trademark Copyright License SBIR Minimum Viable Product Product Launch Other How did you hear about the UNHInnovation I-Corps Program? Wildcatalyst Seminar ECenterNSF WebsiteSBIR/STTR TrainingUNHInnovation Staff MemberUNHInnovation WebsiteSocial MediaOther Need assistance with this form? × Status message Sorry… This form is closed to new submissions. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.