Please complete this form to be considered for the TECenter incubation or acceleration program.

Complete each field to the best of your ability.

When the form is complete click the submit button at the bottom of the page.

If you have any questions about the form or the application process please call Sarah Pokorney at 208.562.3602.

*First Name: *Last Name:*Contact EMail*Company Name:*City:*State: Choose... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone Number:Website:*How is your business organized?Sole Proprietorship Partnership Limited Liability Company CorporationDate business started Where started*What stage of developmentIdea Stage Early Stage Prototype Stage Developmental Stage Expansion Stage*Type of technology businessSoftware Hardware Telecom IT Service Biotech OtherNumber of full time employeesPart time employees*Do you have an existing business plan?Yes No     *Briefly describe your business*Briefly describe your product or service*Describe your business background with product or service*How is your product unique?*Describe your target market and market sizeHow can your product or technology be protected?*What is the primary source of financing for your business?Total revenue (past 12 months)Total assets*What type of assistance are you seeking for your venture?