new form - Innovation Partnership

This field is for validation purposes and should be left unchanged.

Name(Required)

*First Name : *Last Name :

*Email Address :(Required)

Phone Number :

1. Are you a registered, codified business in PA?

Yes

Title

If YES, please proceed to complete the remaining questions.

• You can register your business in PA HERE: https://business.pa.gov/register/

• If you need more guidance on codifying your business and what structure best suits your business needs, please contact your local Small Business Development Center (SBDC): https://www.pasbdc.org/locations/

2. What is the name and address of your company?

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2. What is the name and address of your company?

What is your formal company name?

Address

Company Address 1: Company Address 2: City: State: Zip:

3. What COUNTY is your company located in?

4. Have you created a business plan?

Yes

Business Plan Yes

• The work performed in developing a business plan, sets the foundational stage for your SBIR/STTR proposal. If you would like assistance in developing your business plan, please contact your local Small Business Development Center (SBDC): https://www.pasbdc.org/locations/ .

5. What agency do you plan to submit your proposal to?

(Please leave BLANK, if you do not know which agency you should prioritize for your planned project, IPart can assist you with this decision-making process).

Have you had any direct interactions with the agency?

Yes

6. Have you previously applied for SBIR/STTR funding?

Yes

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A. What Agencies?

B. What was the result?

7. Have you previously used the free assistance resources provided by IPart?

Yes

8. How did you hear about IPart?

General Questions:

Quick links

Address