ETIC Application

If you are interested in working with New York Tech to advance your idea or invention in a collaborative environment, complete this application as the first step toward participating in the ETIC.

All fields are required. If not applicable, indicate N/A.

Founder/Applicant First Name^*

Last Name^*

Company Name^*

Company Location^*

Title^*

Email^*

Phone^*

Mobile Phone^*

Referred By

Category of Product/Innovation^*

Information + Cybersecurity

Energy + Green Technologies

Bio-Engineering + Medical Devices

Other

Other^*

What is the product/innovation?^*

At what stage is the product development (concept, prototype, beta test, revenue generating)?^*

Why does your company want to be located in the Incubator?^*

When do you wish to start activities at the ETIC?^*

Are you currently working with NYIT programs, faculty and/or students? If yes, describe. If no, identify ways in which you would like to work with NYIT (faculty and/or students).^*

What resources do you expect to use (coworking space, equipment)?^*

Please enter the characters displayed in the image below.^*