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What type of funding are you seeking?*

Please describe the progress (including roadblocks) towards obtaining crowdfunding*

Please describe the progress (including roadblocks) towards obtaining regional funding*

Please describe the progress (including roadblocks) towards obtaining small business grants*

Has a pitch deck been constructed?*

Please describe the nature of your staffing/ lab resource needs*

Please describe the nature of your regulatory needs*

Please describe the nature of your funding needs*

Please describe the nature of your staffing/ lab resources needs*

Please describe the nature of your regulatory needs*

Are you interested in commercializing your technology?*

Please describe the rationale for not wanting to commercialize your technology*

Have you spoken to your tech transfer office about your technology?*

Please describe the rationale for not engaging with the tech transfer office*

Has an invention disclosure been submitted for this technology?*

Please describle the progress towards preparing an invention disclosure and describe any roadblocks.*

Did your tech transfer office express commercial potential in the technology?*

Did the tech transfer office provide a rationale for not filing a provisional application?*

What feedback did the tech transfer office give about your technology?*

What is the intellectual property (IP) status of your technology?*

Why has the provisional application not been filed?*

Has your tech transfer confirmed their intentions to file a patent yet?*

What has prevented the patent from being filed*

What is the patent status of your technology*

US Stage
Foreign Filing Stage
Issued/Granted

How would you like to continue developing this technology?*

Is the research for this technology currently being sponsored by an industry partner?*

Is assistance needed in identifying funding sources?*

Please describe the specific nature of your funding needs*

Has the industry sponsor expressed interest in licensing the technology?*

Is assistance needed in identifying potential licensors?*

Have you licensed your technology from the university?*

Has a start-up already been formed?*

What do you need help with?*

Please describe the specific nature of your staffing/ lab resource needs*

Please describe the specific nature of your business plan needs*

Please describe the specific nature of your product development needs*

If applicable please indicate the primary roadblock to your technology's development*

Please describe the specific nature of your product development needs*

Please describe the specific nature of your staffing/ lab resource needs*

What round of financing are you pursuing for your technology?*

What source of funding are you pursuing for this technology?*

Angel Investment
Venture Capital Investment
Other

Has a pitch deck been constructed for this technology?*

Has the technology been communicated to any angel or VC investors?*

Why has the technology not been communicated to an angel/ VC investor?*

Have you been presented a term sheet thus far?*

Please describe the investor feedback you have received thus far*

What type of funding do you need our help in seeking?*

Please describe the type of funding you need our help in seeking

Please describe the progress (including roadblocks) towards obtaining crowdfunding*

Please describe the progress (including roadblocks) towards obtaining regional funding*

Please describe the progress (including roadblocks) towards obtaining small business grants*

Has a pitch deck been constructed?*

Is your technology a drug or device?*

What stage is your technology in?*

Do you have a lead drug candidate?*

What obstacles, if any, are holding back your research?*

Funding
Staffing/ lab resources
Time
Experimental hurdles
Other
None of the above

Please describe the specific nature of your funding needs*

Please describe the specific nature of your staffing/lab resource needs*

Please describe the specific experimental hurdles that need to be overcome*

If applicable please indicate the primary roadblock to your technology's development*

Please describe the nature of your funding needs*

Please describe the nature of your staffing/ lab resource needs*

What IND enabling studies have been completed thus far?*

Chemistry, manufacturing and control (drug strength, identity, quality and purity known; information to support drug stability)
Pharmacokinetics/ ADME (in vitro metabolism, plasma protein studies)
Toxicology (min. 14-day GLP-compliant studies such as repeat dose in two species or at least one species for biologics)
None

Please describe the specific nature of your clinical trial needs*

Do you have a lab developed test or in vitro reagent?*

Is your technology a companion diagnostic?

Is your technology already available to patients as can LDT through CMS CLIA program?*

What is the next intended regulatory step for your technology?*

Has the technology been presented to a CLIA certified lab?*

Has the CLIA certified lab agreed to validate your technology?*

Please describe rationale for not engaging with a CLIA certified lab*

Have you presented the technology to the CLIA certified lab?*

Has a CLIA certified lab agreed to test your technology?*

Please describe the roadblocks in engaging with a CLIA certified lab*

What is the likely FDA classification of your medical device?*

Is your technology a companion diagnostic?*

Are you developing a therapeutic related to your device?*

What stage is your technology in?*

Do you have a lead drug candidate?*

What hurdles if any is holding back your research?*

Funding
Staffing/ lab resources
Time
Experimental hurdles
Other
None of the above

Please describe the specific nature of your funding needs*

Please describe the specific nature of your staffing/lab resource needs*

Please describe the specific experimental hurdles that need to be overcome*

If applicable please indicate the primary roadblock to your technology's development*

Please describe the nature of your Funding needs*

Please describe the nature of your staffing/ lab resource needs*

What IND enabling studies have been completed thus far?*

Chemistry manufacturing and control (CMC)
Pharmacokinetics/ ADME (at least two different animal models, dose range finding)
Toxicology (28 day study in at least two different animal models)
None

Please describe the specific nature of your clinical trial needs*

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