Technology_Acceleration_Need.doc

Technology Acceleration – Need Checklist

Need Title

 

Need Description

 

Contact Details

Title:

 

First Name:

 

Last Name:

 

Designation:

 

Email:

 

Preferred Tel#:

 

Street Address:

 

City, State:

 

Zip-code:

 

Country:

 

Related Growth Areas**

Technology Acceleration     Continuous Improvement     Sustainability Workforce     Supplier Development    Others

Capital Needs

 

Capital Amount*

10K-50K    51K-100K    101K-250K    251K-500k    501K-1M    1M+

Funding source of interest**

Internal Funding      State Funding      Federal Funding      Grants      Angel Investors      Venture Capitalist(s)      Bank Loan or Financing

Development status**

Pre-Concept             Solution Analysis        Technology Development    Engineering & Manufacturing Development  

Operations & Support           Production and Deployment   

Related Products

 

Competing products

 

Time spend+

Searching Solution

 

Limit to find solution

 

Time to implement solution

 

Solution areas

 

Application(s)

 

Benefits(s)

 

Expected company involvement**

None       Provide Infrastructure       Co-Development

* Circle one that apply

**Circle all that apply

+Note one that applies from following possible values:  < 1Month,   1-3 Months,   3-6 Months,                   6-12 Months,    1-3 Years,    >3 Years