Innovation Services Request

Select your organization/affiliation.

UNC-Chapel HillCompany or Other Organization External to UNC-Chapel Hill (includes UNC Health)

First Name

Last Name

Email Address

Phone Number

Company/University Information

Name of Company (if formed) or Affiliated University:

If University, please specify School or Department

Street Address

City

State

Zip Code

North Carolina County

Requests from outside of UNC-Chapel Hill are part of our Innovation Services Recharge Center option and may have fees attached to services.

UNC-Chapel Hill Contact Information

PID

UNC-Chapel Hill Affiliation (Alumni please enter your current company/organization):

FacultyUndergraduate StudentGraduate StudentStaff or Post Doc

UNC-Chapel Hill School or College

Department in UNC College of Arts & Sciences

Other UNC School, College, Department

Request Details: Service Request and Referral

Service Group Requested:

Patent Landscape and Market ResearchDesign ThinkingVenture ServicesNot sure. We should discuss.

Briefly tell us about your project, business, or innovation; what services you are seeking; and your timeline.

Referred by:

If other, please specify:

255 Characters Max

Please specify contact person from referring program:

What are a couple of good days/times to arrange a meeting in the next two weeks? A member of our team will follow-up with a calendar invitation

Program applying to (validation)

Innovation Services Recharge

Contact Information