ISIS Center Application

Please complete this application so that we may be better able to assist you. All information contained herein will remain confidential.

Company Information
Company Name: *
Address 1:
Address 2:
City:
State:
Zip Code:
E-mail: *
Primary Phone:
Secondary Phone:
Corporate Officers or Partners
President:
Address:
Vice President:
Address:
Secretary/Treasurer:
Address:
Company Background
Please provide a 1-2 paragraph business description of your company. If you would like to see examples of descriptions for current tenants, please click here:
List products that your company has developed and/or those that you intend to develop:
Describe how your product(s) relates to ISU technology or resources:
Describe any past or present affiliations that your company has (had) with ISU researchers, departments, or service agencies for the purpose of developing your product(s) or assisting with your business development:
Do you have or are you planning to have a licensing agreement with ISU:
Why are you applying for tenancy or for affiliate status in the Iowa State Innovation System:
List the type of work that your company expects to perform in the ISIS Center (tenancy only):
List the types of machines that you expect to locate in the ISIS Center:
List any special requirements that you have if you locate in the ISIS Center, i.e.; heavy water supply, management assistance, special room configuration, etc.:
How many employees would work in your office here at least ten hours a week:

Do you have a completed business plan:

What is your target date for tenancy: