ORBIT Incubator Application

  • Number of current employees (F/T, P/T)
  • Office Space
  • "Wet" Laboratory Space
  • Dry Bench Space
  • Other
  • If other, please specify what type
  • Special facility requirements (electrical, ventilation, floor load, etc.)
  • Date Format: MM slash DD slash YYYY
    Target date for relocation into the Incubator
  • Estimated required support services from the Incubator
  • Internet service needs and possible bandwidth capacity
    Any affiliation with BRIC/University?
  • If yes, explain affiliation
  • Comments (If you do not have a business plan and need assistance in developing a business plan, indicate that here.)
  • Upload copy of current Business Plan
  • Upload copy of current Annual Report
  • Upload copy of Brochure
  • Upload copy of other relevant information