TechNovum Application
UT Health Spring 2024 Accelerator Program | Application Deadline: February 16th
Applicant Information
Name of primary applicant
*
Prefix
First Name
Last Name
Suffix
Primary department affiliation at UTHSA:
Names of other team members, if any:
Applicant email:
*
example@example.com
Applicant phone number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Save
Technology, Company, & Product
Please answer the following questions to the best of your ability:
UTHSA OTC Technology Identification Numbers, if known:
(i.e., HSC-####)
Has OTC completed a Technology Management Report?
*
Yes
No
Not Sure
Describe, in lay terms, the innovation, discovery, invention or product.
*
0/50
What is the current status and stage of its development? Check all that apply:
*
Ideation Only (No Innovation Disclosure Form)
Innovation Disclosure Form Submitted to OTC
Intellectual property pending (drawings, chemical structures, CAD, etc.
Physical/technical prototype
Digital Health and or “app”
Art - any drawing of any kind, including but not limited to: medical device drawings, medicinal chemistry structures, antibody regions, etc.
Pre-clinical (pre-toxicology)
Pre-clinical (pre-IND)
IND submitted
Clinical Data
Other
Stage of business development: Company Formed?
*
Yes
No
Formation Type:
Company Name:
Stage of business development: Management team already in place?
*
Yes
No
If yes was answered to the question above, list management positions in place:
(e.g, CFO, CEO, CMO, Coo, etc.)
Stage of business development: Has this technology been optioned or licensed?
*
Yes
No
Back
Next
Save
Problem/Solution
What is the problem that your invention solves?
*
0/50
Briefly, name others trying to solve this same problem? (Who is your competition?)
*
0/50
What are the main advantages of your solution over the competition and the key benefits of your invention?
*
0/50
Who are the primary customers for the product or service that you will provide?
*
0/50
What type of financing, if any, have you utilized to develop the innovation/discovery/invention to date? Indicate the sources, names, and amounts.
*
Federal or other grants
Investor
UTHSA PTEF
Departmental Funds
None
Other
If "federal or other grants" was selected in the question above, please specify the source:
e.g. NIH, SBIR, CPRIT
Back
Next
Save
Your participation in the TechNovum Cohort will require a significant time commitment over several weeks. Teams that are selected will be required to participate in weekly sessions over a 6 week period, located at either VelocityTX or on the UT Health campus (a more detailed schedule will be provided.) If you are selected and agree to join the UT Health Accelerator powered by VelocityTX, are you willing to commit to these requirements?
*
Yes
No
Save
Submit
Should be Empty: