2026 HART OF THE ENTREPRENEUR AWARD APPLICATION FORM
Judging will be conducted by a panel of judges who are experienced in the development and commercialization of technology products and services, representing the educational, scientific, and commercial technology communities. Please utilize the form below to complete your submission. Winners will be announced at TechNite. Learn more: https://www.rbtc.tech/about/hart-of-the-entrepreneur/
Full Name
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Prefix
First Name
Middle Name
Last Name
Suffix
Title
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Email
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example@example.com
Name of Business
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Year/Date company established
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Number of Employees
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Business Address (street, city, state, zip)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Telephone
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Please enter a valid phone number.
Home Address (street, city, state, zip)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Education (degrees, years, honors, etc.)
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Check all that apply
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Member of Roanoke Blacksburg Technology Council
RAMP Alumni
Other
If Other, please specify
Annual Revenues for most recent fiscal year (Financial information will be kept confidential; additional information may be requested.)
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Funds raised
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Net income for most recent fiscal year (Financial information will be kept confidential; additional information may be requested.)
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Description of company's products/services
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TECHNOLOGY - Describe the key technologies underlying the applicant’s success, and the role played in the research and development of these technologies.
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PRODUCTS- Describe the product(s) and service(s), based on the technology(ies) developed, which are now successfully marketed. What market needs do the product(s)/service(s) satisfy? How are these products different from other alternatives available to the marketplace?
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MARKET SUCCESS-Describe by one or more measures how successful these products have been in the market. Such measures might be market share, or growth rates of unit volume, sales volume, numbers of customers, etc.
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ENTREPRENEUR'S STORY-Describe the story of your enterprise that was developed as a successful business. What challenges were faced? How were they overcome?
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How will your company impact the Roanoke-Blacksburg region as it becomes more successful?
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POTENTIAL FOR CHANGE - Assume you had an opportunity to be given $10,000 to spend on a very important item or task that would change the trajectory of your business. Describe how you would use the funds and the results you would expect.
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Applicant's Signature
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Submit
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