LifeX Startup Intake Form

  • LifeX Startup Intake Form

    Please complete this form if you are a startup interested in engaging with LifeX, including applying to the LifeX Accelerator, LifeX Launchpad, LifeX Ventures, LifeX Connect, or participating in the LifeX community via events and other opportunities.

  • Company Information

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  • Contact Information

  • Format: (000) 000-0000.
  • What is your primary interest in connecting with LifeX?*

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    LifeX Opportunities

    LifeX provides programmatic support and services through our LifeX Accelerator and LifeX Launchpad programs, connection to critical talent through the LifeX Connect platform, and pre-seed/seed funding through LifeX Ventures. LifeX also hosts a variets of events and opportunities open to the broader entrepreneurial community. 

  • What LifeX program(s) are you applying for?*

  • Applications for the Spring 2026 LifeX Accelerator Cohort are now closed. Applications submitted will be considered for our Fall 2026 Accelerator Cohort, which will run from Sept-Dec 2026. 

    • LifeX Ventures currently only invests in companies headquartered in the state of Pennsylvania.
    • LifeX Accelerator, LifeX Launchpad, and other supporting services are available to companies located across the country.
    • We consider HQ wherever the company has a physical address and uses for tax filing and business registration purposes.

  • Additional Company Information

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  • Did the technology or IP originate from a university or research institution, such that licensing IP from that institution would be required?*
  • Did the technology or IP originate from a university or research institution, such that licensing IP from that institution would be required?*
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  • LifeX Connect Questions

    Please fill out this section if you are interested in joining LifeX Connect, a portal for prospective entrepreneurial leads to connect with life science startups.
  • What type of candidate are you interested in connecting with?

  • Demographics-Related Data

    Filling out this form and providing demographic information is optional; applicants are not required to provide the requested information but are encouraged to do so. LifeX will not discriminate on the basis of whether an applicant provides this information, or based on any information provided on this form. If you decline to provide this information, it will not adversely affect your application.

  • For purposes of this form, an applicant is a minority, woman, or veteran-owned or controlled business if the business meets one or more of the following:

    • If privately owned, 51 percent or more is owned by minority, woman, or veteran individuals;
    • If publicly owned, 51 percent or more of the stock is owned by minority, woman, or veteran individuals;
    • In the case of a mutual institution, a majority of the board of directors, account holders, and the community which the institution services is predominantly comprised of minority, woman, or veteran individuals; or
    • One or more minority, woman, or veteran individuals have the power to exercise a controlling influence over the business.
  • Is the business a minority-owned or controlled business?*
  • Is the business a women-owned or controlled business?*
  • Is the business a veteran-owned or controlled business?*

  • Miscellaneous Questions

  • Should be Empty: