Mission & Services | Application | Clients | Events | Available Technologies | SBIR/STTR

UT- Battelle CEG Application


Instructions: To determine your acceptance into our program
and the level of assistance needed, please complete this
Questionnaire and submit it or download the Word document
and send it via e-mail to knight@tech2020.org or via regular
mail to Technology 2020. We recommend downloading the Word
document so you have a record of your submission.

Do not include any information you consider proprietary.
After reviewing your submission, you will be contacted for an
appointment to meet with one of our business counselors.

 
Date Completed:
Contact Name:
Title:
Company:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail:
Web Site:
Source of Referral:
Relationship with UT-Knoxville:
Licensed technology from ORNL
Working with a researcher from ORNL to
develop new technology
Utilize ORNL facilities to perform research and/or testing
Alumni, student, or faculty who has started a new technology based company
Description of Company
(50 words or less)

Note: This description of your company may be used in our marketing materials, including our website.


Primary Services Requested
Business Counseling
Incubator Space
Telecommunications Connectivity
Financial Referrals
Strategic Alliance Program
Other
Intellectual Property Status
Patent Pending
Patent
Exclusive License
Nonexclusive License
Copyright Pending
Copyright
Status of Enterprise
Concept Only
Proof of Concept
Start-up Business
Full Operation
Management in Place
Operations Personnel in Place
Facilities in Place
Product Development (Tech Plan) Available
Market Research (Plan) Available
Legal Structure
C Corporation
S Corporation
Partnership
LLC
Sole Proprietor
Other
Tax ID Number:
SIC:
Date of Formation:

Who are the principals and partners in the business? Please list and provide home addresses for each.

 

Technology/Production Issues

Briefly describe the business concept.

Are there any additional developments necessary to bring this technology/product to market? What (if any) technical breakthroughs will be required to commercialize this technology? How much time do you think it will take?

What is the intellectual property position?

What is the breadth of the technology? That is, is the technology a single-product idea or does it have the potential to create many new products?

What production capabilities currently exist and what capabilities are required?

Do you plan to outsource production?



Marketing/Distribution

Describe the need for your business product or service. What are its end uses or potential applications., i.e., what functions are performed and what problems are solved? How significant is the need? What evidence/data exists that demonstrates the need for the technology or product?

What market(s) are envisioned for this technology or product? Who will be the customers (the users) for the product? What is the size of these markets?

What alternative ways exist to satisfy the need addressed by this technology/product? What companies provide competitive technology and/or products? What other developments are happening (or might happen) to affect the market for this technology/product, including regulatory agencies, and what will their impact be?

Describe the competitive advantages and disadvantages of this technology/product compared to other approaches of addressing the same need or application. Why would someone choose this technology/product over other competing technologies or products?

Describe your distribution approach. Do you plan to outsource?



Management Issues

What do you believe are your qualifications with regard to starting up and managing a new business? What specific assistance do you think you need?

Have you established a management team? If yes, who are the people involved and what are their qualifications and commitments? If no, what is you plan for assembling a management team?

How many people plan to dedicate themselves full time to building this business?

What categories of jobs and what level of employment do you expect to create?

If your real strength is technology, would you be willing to consider delegating management responsibility to someone else? Under what conditions, if any?



Financing

How much money do you think will be needed to develop the technology/product? How would the money be spent?

How much have you or others already invested in the technology/product? How much money are you prepared to invest in your idea? How much money would you expect external sources to provide? Have you considered a strategic partner?

Do you have a business plan available? Yes No
If so, please include a copy in your response. If not, what are your plans for preparing one?



Please submit financial historical information on company and personal financial statement of principals (if applicable) via e-mail to knight@tech2020.org or via regular mail to Technology 2020.


 

1020 Commerce Park Drive

Oak Ridge, TN 37830

Phone: 865.220.2020

Fax: 865.220.2030

 

Contact us: info@tech2020.org