Northeast I-Corps Hub Team Application
Team Information
What is your team's name?
City
State/Province
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
How many people are currently on your team? (1-5). You
will enter each person's info one-by-one.
Please select...
1
2
3
4
5
Explanation of Roles
Teams consist of at least an Entrepreneurial Lead (EL) and a Technical Lead (TL):
Entrepreneurial lead
The entrepreneurial lead may be a graduate student, postdoctoral scholar, undergraduate student or staff member with relevant knowledge of the technology or market and a commitment to investigate the potential opportunity for commercialization.
The role of the entrepreneurial lead is to drive the customer discovery process and support the transition of the technology into the marketplace if it demonstrates commercial viability.
Technical lead
The technical lead will often have been involved in creating the technology that forms the basis of the team’s business concept or possesses a high level of relevant technical expertise. The role of the technical lead is overall project management. The technical lead is often a faculty member and, if a company is formed, plays a key leadership role such as a scientific advisor or chief technical officer.
Industry Mentor
The industry mentor will typically be an experienced entrepreneur, intrapreneur or corporate innovator who serves as a third-party resource.
The role of the mentor is to guide the team forward and track progress.
Teams do not have to identify an industry mentor prior to application, but are encouraged to do so.
Co-ELs, co-TLs and co-IMs are allowable, as long as all are active I-Corps team members.
Applicant Information
Team Role
Please select...
Entrepreneurial Lead (EL)
Industry Mentor (IM)
Technical Lead (TL)
Unsure
First Name
Last Name
Email Address
Phone Number
Academic Institution (if you are not applying as an Academic Team, please provide your company name)
Please select...
Delaware State University
Lehigh University
New Jersey Institute of Technology
Princeton University
Rowan University
Rutgers University
Temple University
University of Delaware
Other
Please Specify
Current University Status
Please select...
Undergraduate student
Graduate student
Faculty member
Postdoc
Alumni
Staff
Other
School/Department
Qualifications/Experience: What
qualities/expertise you bring to the
team regarding this
technology/innovation ?
Applicant Information
Team Role
Please select...
Entrepreneurial Lead (EL)
Industry Mentor (IM)
Technical Lead (TL)
Unsure
First Name
Last Name
Email Address
Phone Number
Academic Institution (if you are not applying as an Academic Team, please provide your company name)
Please select...
Delaware State University
Lehigh University
New Jersey Institute of Technology
Princeton University
Rowan University
Rutgers University
Temple University
University of Delaware
Other
Please Specify
Current University Status
Please select...
Undergraduate student
Graduate student
Faculty member
Postdoc
Alumni
Staff
Other
School/Department
Qualifications/Experience: What
qualities/expertise you bring to the
team regarding this
technology/innovation ?
Applicant Information
Team Role
Please select...
Entrepreneurial Lead (EL)
Industry Mentor (IM)
Technical Lead (TL)
Unsure
First Name
Last Name
Email Address
Phone Number
Academic Institution (if you are not applying as an Academic Team, please provide your company name)
Please select...
Delaware State University
Lehigh University
New Jersey Institute of Technology
Princeton University
Rowan University
Rutgers University
Temple University
University of Delaware
Other
Please Specify
Current University Status
Please select...
Undergraduate student
Graduate student
Faculty member
Postdoc
Alumni
Staff
Other
School/Department
Qualifications/Experience: What
qualities/expertise you bring to the
team regarding this
technology/innovation ?
Applicant Information
Team Role
Please select...
Entrepreneurial Lead (EL)
Industry Mentor (IM)
Technical Lead (TL)
Unsure
First Name
Last Name
Email Address
Phone Number
Academic Institution (if you are not applying as an Academic Team, please provide your company name)
Please select...
Delaware State University
Lehigh University
New Jersey Institute of Technology
Princeton University
Rowan University
Rutgers University
Temple University
University of Delaware
Other
Please Specify
Current University Status
Please select...
Undergraduate student
Graduate student
Faculty member
Postdoc
Alumni
Staff
Other
School/Department
Qualifications/Experience: What
qualities/expertise you bring to the
team regarding this
technology/innovation ?
Applicant Information
Team Role
Please select...
Entrepreneurial Lead (EL)
Industry Mentor (IM)
Technical Lead (TL)
Unsure
First Name
Last Name
Email Address
Phone Number
Academic Institution (if you are not applying as an Academic Team, please provide your company name)
Please select...
Delaware State University
Lehigh University
New Jersey Institute of Technology
Princeton University
Rowan University
Rutgers University
Temple University
University of Delaware
Other
Please Specify
Current University Status
Please select...
Undergraduate student
Graduate student
Faculty member
Postdoc
Alumni
Staff
Other
School/Department
Qualifications/Experience: What
qualities/expertise you bring to the
team regarding this
technology/innovation ?
Team History
How did the team meet ?
How long have you worked together ?
How does the team work together now ?
How did you
hear about the I-Corps Hub Northeast
Regional program (please specify in the text box)?
Info Session
Email
Newsletter
LinkedIn
Other Social Media
Please Specify
Conference or Event
Please Specify
Faculty Lead
Please Specify
Previous I-Corps Team participant
Please Specify
Tech Transfer Office contact
Please Specify
Other Friend or Colleague
Please Specify
Technology/Innovation Origin and Source
The origin of this technology/innovation comes from
which of the following Hub Institutions?
Please select...
Delaware State University
Lehigh University
New Jersey Institute of Technology
Princeton University
Rowan University
Rutgers University
Temple University
University of Delaware
Other
Please Specify
The origin of this technology/innovation
has been developed from
Please select...
Capstone or other Class Project
Faculty/Staff research
Other
Personal Project
PhD Thesis
Please Specify
Technology Topic Area (chose any that apply)
Advanced Analytics
Advanced Manufacturing
Advanced Materials
Artificial Intelligence
Augmented and Virtual Reality
Biological Technologies
Biomedical Technologies
Chemical Technologies
Cloud and High-Performance Computing
Cybersecurity and Authentication
Digital Health
Distributed Ledger
Energy Technologies
Environmental Technologies
Human-Computer Interaction
Instrumentation and Hardware Systems
Internet of Things
Learning and Cognition Technologies
Medical Devices
Mobility
Nanotechnology
Other Topics
Pharmaceutical Technologies
Photonics
Power Management
Quantum Information Technologies
Robotics
Semiconductors
Space
Wireless Technologies
Please include any relevant research awards or funding
related to the development of this technology:
NSF (National Science Foundation)
NIH (National Institutes of Health)
DOE (Dept of Energy)
DoD (Dept of Defense)
Corporate / Industry Sponsored
Please Specify
Other
Please Specify
Unsure
What is the status of the Intellectual Property (IP) of this
innovation?
Not disclosed to Tech Transfer Office
Disclosed to Tech Transfer Office
Provisional Patent Application filed
Regular Patent Application filed
Patent Issued
Other
Please Specify
Unsure
Please answer the questions below.
Who is the assigned Licensing
Manager? (If unsure, put "Unsure." If no
IP protection, put N/A)
Please list any relevant patent, patent
application numbers, or disclosure
reference number related to this
innovation.
Note
: For
information about invention disclosures, please speak with your
university Tech Transfer Office or email us at
info@icorpsne.org.
Technology Description & Commercial/Business Concept:
Please provide a short non-technical
description of the technology.
(DO NOT DISCLOSE ANY
CONFIDENTIAL OR PROPRIETARY INFORMATION!!
If in
doubt, please contact your Tech Transfer Office before
submitting the application).
Customer Discovery Plan:
We expect you to come to
the program with a rough plan for meeting with 15+ potential customers, spending ~8-10 hours per week
over the 4 week Northeast I-Corps Hub program. What
industries are you looking to explore to conduct your
interviews? Please state any upcoming trade shows,
conferences (virtual or in-person), meetup events (if so,
give expected dates and locations) that you are planning
to attend. If selected, your team will receive funding for
Customer Discovery activities such as these.
Market Opportunity for the Technology:
Describe
your idea for a product/service that can be developed
from this technology? Who do you think would purchase
it, use it, or benefit from its introduction into the market?
What competitive advantages does your innovation have
over the existing technology?
Team Goals:
Why do you want to participate in the
Northeast I-Corps Hub program? What do you hope to
learn? What outcomes do you hope to achieve?
By submitting this application you are confirming that all
team members agree to make every reasonable effort to
attend all training sessions associated with the program
and complete deliverables and required surveys in a
timely manner. Please select your team role and type
your name to signify your signature. Once complete,
please click Submit.
Entrepreneurial Lead
Technical Lead
I-Corps Team
Institution
Contact Information