First Name:
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Last Name:
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Email:
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example@example.com
Company:
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Company Name
Company LinkedIn Profile:
Company URL
I'm interested in...
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Please Select
Applying for Residency
Partnership Opportunities
General Inquiry
Other
Please tell us more about your interest in The Engine
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Company Type
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Please Select
Startup
Corporate / Strategic
Vendor / Service Provider
Investor
Academic / Research Institution
Government
Non-Profit / Philanthropy
Funding Stage
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Incubation
Non-dilutive
Pre-Seed
Seed
Series A
Series B or beyond
Total Funds Raised
In 250 characters or less, please explain the real world problem you solve and how you will solve it, as if talking to a non-scientist.
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What Type of space are you looking for? (select all that apply)
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BSL2/Biology Bench
Chemistry Benches/Fume Hoods
Fabrication/Engineering (No BSL Level)
Dedicated Desks
Avenue Membership
Please select all relevant hazards with your work
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Biological Materials
rDNA or gene editing
Hazardous Chemicals or Compressed Gasses
Culturing in volumes >10L
Procedures with Live Plants
Dual User Research Concern
High Voltage Equipment (>120V)
Class 3B or 4 Lasers
Please list any additional information that you feel is important.
How did you hear about The Engine?
Attended an Event
Advertisement
Internet Search
Word of mouth
Which of the following best describes you or your firm?
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Angel Investor
Venture Capital
Impact Investor
Family Office
Philanthropic Donor
Corporate
Private Equity
Government/Sovereign Wealth Fund
At which funding stages do you make investments?
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Angel
Seed
Series A
Series B
Series C
Growth
Project Finance
What is the typical check size for your firm?
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$0 - $100K
$100K - $250K
$250K - $500K
$500k - $1M
$1M - $5M
$5M - $10M
$10M+
What is your general round participation preference?
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Lead
Co-Lead
Follow
Which of the following areas are you active/interested in?
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Climate/Energy
Health/Bio
Advanced Systems
Are you open to direct introductions/receiving information on Engine residents that are actively raising?
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Yes
No
What are your primary goals for collaborating with startups?
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Customer Acquisition
Investment
M&A
Joint Venture
Pilot Projects
License Technology
Are you interested in becoming a sponsor of The Engine? (This would involve a cash or in-kind donation)
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Yes
No
Do you offer any special pricing or discounts for startups?
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Yes
No
What products or services do you offer that are tailored to the needs of startups?
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Legal
Accounting and Financial Services
Marketing and PR
IT and Tech Support
Human Resources
Web Development and Design
Cloud and Hosting Services
Product Development and Manufacturing
Sales and Customer Relationship Management
Consulting and Business Strategy Services
Research & Development
Insurance Services
Regulatory & Compliance Consulting
Laboratory Services & Operations
Bioinformatics and Data Analysis Services
Custom Electronics & Sensor Development
Regulaotry & Compliance
Material Suppliers
What stakeholder type best describers you?
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PI
Research faculty
Tech transfer/licensing officer
How did you hear about The Engine? (if someone referred you please name them here)
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Submit
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