NEX-LABS Commercialization Prize | Application Form
Please take the time to thoroughly fill in the application form below.
Applicant Information
Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Non-binary
Date of birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone Number
LinkedIn Account
*
Highest Level of Education
*
Please Select
Less than secondary School
High School
Professional Technician's Diploma
Higher Technician's Diploma
Bachelor's degree
Masters
PhD
Education Field
*
Total years of experience
*
Are you currently employed?
*
Yes
No
Current employer
*
Current position
*
Project Information
Project name
*
Academic Institution
*
Department
*
Research Group
*
Number of reserachers/team members
*
Year of project start
*
Stage
*
Initial exploration
Preliminary results
Proof of principle
Result validation
Exploring commercial exploitation
Commercially exploited
Other
Do you have a business plan or a presentation related to this project?
*
Yes
No
Kindly upload it here
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of
Doyou have a scientific publication related to this project?
*
Yes
No
Kindly upload it here
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of
Project brief description including major achievements to date
*
What is unique about your project/business idea?
*
Brief list of the different products/services your project can develop into
*
Details on expertise sought
What kinds of expertise/mentorship are you hoping to gain access to?
*
Explain the need for this expertise and how this might help you establish a commercial operation.
*
Explain the anticipated short and long term impact of this expertise/mentorship.
*
Thank you for taking the time to fill in the NEXUS Commercialization Prize application form.
You will be contacted once the application is reviewed and the selection process is achieved.
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