DoD Office Hours Application
This application was created to assist the VelocityTX team with collecting information about the clients joining the VelocityTX Innovation Center. This information will help us prepare for the initial meeting to discuss potential collaboration and assistance. Please take a few minutes to fill out the form.
Company Info
Company Official Name
*
Main Point of Contact Information
Name
*
First Name
Last Name
Title
*
MD, PhD, MBA, etc
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What do you aim to accomplish with this connection (particularly, how does your product fit the military)?
*Note: no more than 30 words
Bio of CEO/Primary Contact (Short Description of Experience Related to the Technology in Question; or may provide CV or Resume below):
CV/Resume (Optional)
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Please provide headshot for CEO/Primary contact and any team members participating in the program.
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of
One-Pager on particular technology or Company Flier
*
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Please provide headshot for CEO/Primary contact and any team members participating in the program.
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Company Social Media Profile Links
Website URL
LinkedIn
Facebook
Instagram
Twitter
Other
Photos
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Choose a file
Please provide a minimum of 2 photos that shows your work in action. If you don't have a photo, the VelocityTX MarComm team may assist in taking a photo or you can choose a stock photo at freepik.com.
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Product Technology
In a high level overview, explain your technology:
*
Describe the issue/problem that your company is trying to solve.
*
Describe the market for your product.
*
Who in particular would you request to be connected with and why?
What are some of the next steps or accomplishments that are required to continue to move to commercialization?
*
What do you know of VelocityTX and our services?
*
How did you learn about VelocityTX?
*
Word of Mouth
Facebook
Instagram
Twitter
LinkedIn
Search Engine
Other
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