Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
Idea Foundry Accelerator Application
Thank you for your interest in the Idea Foundry Accelerator Program. The descriptions of our
accelerator programs are provided below. Please read through the descriptions before filling out the
application to determine the best fit for the innovation.
The Healthcare and Life Sciences Accelerator Program has been established
to promote the development of life science innovations. The Healthcare and Life
Sciences program is interested in technologies that address the following areas:
medical devices; diagnostics; drug discovery, development, and delivery;
healthcare IT; and biotechnology.
The Intelligent Systems Development Accelerator Program has been
established to support the development and commercialization of technologies
that enable intelligence in systems and solutions. The Intelligent Systems
Development Program is interested in technologies that address the following
areas: networking, data analytics, sensors, automation, etc.
The Innovate H2O Accelerator Program has been established to promote the
development and commercialization of technologies that address the critical
water challenges that we face regionally and globally. Innovate H2O is particularly
interested in those technologies that address critical issues such as: wastewater
and drinking water treatment; municipal and industrial water re-use; distribution;
water quality and monitoring; and storm water management and navigation.
The Advanced Materials Accelerator Program has been established to
support innovations in the materials science industry. The Advanced Materials
Program is particularly interested in those technologies that address the following
areas: bioengineered materials, synthetic materials (superalloys, coatings),
polymers, and advanced manufacturing.
Please complete this application as thoroughly as possible. Additional pages or supporting documents
can be attached either as a separate attachment or in the space provided at the end of this application.
Please email all completed application forms and attachments to [email protected].
Idea Foundry acknowledges the confidential and proprietary nature of the information you
disclose on this application and we will use this information solely for evaluating your entry into
the Program. However, this application does not represent a Non-Disclosure or Confidentiality
Agreement.
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
I. Application Category
Please indicate which accelerator program(s) would be the best fit for the innovation:
Healthcare and Life Sciences
Intelligent Systems Development
Innovate H2O
Advanced Materials
If you are unsure how to categorize your innovation, please contact us. We would be glad to answer
any questions that you may have and advise you in filling out the form.
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
II. Applicant Details
Primary Applicant Details
Full Name
Contact Information
Mailing Address
Phone
Email
Applicant Employment/ Affiliation Information
University
Affiliation & Level
Employer
(if other than University)
Position
Program / Department
Additional Team Member Information (List any additional team members that will be involved in the
commercialization efforts and their affiliations. e.g. EIRs, student teams, business mentors, advisors,
etc.)
Name
Role
Contact Information
Business Information (if applicable)
Business Name or Project Name
Website (leave blank if not applicable)
Social Media (leave blank if not applicable)
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
III. Invention Details
Technology / Innovation Information
Please provide a brief summary of your innovation.
Note: Please DO NOT disclose how your innovation or technology works, instead emphasize what it does.
What is the problem your innovation is attempting to address? How is the problem currently being
solved?
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
Please describe the current stage of development. If applicable, what validation studies (benchtop, preclinical, clinical, feasibility/pilot) have been performed?
describe the current stage of development. If applicable, what validations studies (benchtop, preclinical, clinical) have been performed?
Please provide a brief history of the idea/innovation from conception to its current state so that we may
understand the evolution of your concept.
Have you identified your competitors? What is the competitive advantage of the innovation?
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
IV. Commercialization & Intellectual Property Details
Commercialization & Intellectual Property Information
Have you identified a market/market application for the innovation?
Has an invention disclosure been filed with the university or employer? Please provide details such as
dates, etc. If an invention disclosure has not been filed, please explain why.
Please describe steps taken, if any, around intellectual property protection.
Has an entity been formed around the innovation?
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
Are you currently involved in any other accelerator programs, partnerships, or collaborations – within or
outside of the university? Please provide details (e.g. program names, funding received, use of
proceeds, etc.)
Please describe the timeline for development (e.g. major milestones, dates of completion, etc.)
Have any companies or investors expressed interest in the innovation?
© 2015 Idea Foundry
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Submit information to:
Nehal Bhojak
Director of Innovation
Idea Foundry
412.682.3067
[email protected]
V. Idea Foundry Support Details
Idea Foundry Support
Please describe what types of services would be most helpful in the advancement of your innovation.
Please provide a description of how you plan to deploy funds provided through this program.
What do you hope to achieve through the Idea Foundry Accelerator Program?
How did you hear about the Idea Foundry Accelerator Program?
© 2015 Idea Foundry
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