i6 Agile Innovation System Application - Spring 2012 application

a collaboration between

and

Please answer the questions below to the best of your ability and to your current understanding of your project.

You will see links on the survey that allows you to save progress at any time. You may also submit more than one application if you have multiple ideas.

You will need to submit your applications by 11:59 PM Eastern time on Monday, April 30th, 2012.

Contact Information

Project Name, if determined

Primary Contact Name *

Website URL

Primary Contact Address *

Primary Contact City *

Primary Contact State *

Primary Contact Zip *

Primary Contact Phone Number *

Primary Contact Secondary Phone Number

Primary Contact E-mail Address *

Team Member 2 Name

Team Member 2 E-mail

Team Member 3 Name

Team Member 3 E-mail

Team Member 4 Name

Team Member 4 E-mail

How did you hear about i6?

Summary

Please describe your project/concept in 2-3 sentences.

List all of your team members' names, work experience, education, and accomplishments. Please note if your team has previous history working together and describe the context.

Please upload the resumes of your core team members in a zip format

Please describe each team member's involvement on separate lines in the following format: Team member's name / role in the company / number of hours per week dedicated to the project / any other commitments such as school, other job, etc. Also, please highlight who will be doing development. Example: John Smith / Primary Software Developer / 30 hours per week / One graduate course three days a week

Will every member of the team have employment authorization to work and/or manage the new company should it be selected into the i6 Agile Innovation System? If no, please explain. If yes, what is the form of employment authorization? Please provide details for each team member, i.e., US citizen, permanent resident, employment authorization, H-1B status, etc.

Product / Market

Please provide a more detailed description of your project/concept.

What problem does your project/concept solve? Who specifically has that problem today? How are you unique?

How do you anticipate acquiring users / customers? (Please provide some specific examples / details)

Current Status / Plans

Describe the progress you have made to date on your project/concept, including the stage of product or customer development. (e.g. customers, users, market research, lines of code, functionality, built prototype)

Additional Information

What else would you like us to know about you and your project/concept? Please include any relevant references or links.

Please attach any additional documents to your application (using a zip file if there are more than one). NOTE: Please limit your supplemental materials to a total of five pages in length.

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