Tech Venture

   Maximizing the potential of technology
         and life sciences businesses

Company Name /Organization:
Legal Structure
First Name:
Last Name:
Mailing Address:
State:    Zip Code:
Fax :
E Mail:
Describe briefly the product(s) and service(s) your company will develop:
Describe briefly the technology and any intellectual property position:
What is the current problem in the market you identified and how will your product/service solve this problem?
Who is your target customer for your product and who will be the end-user?
Shortly describe if you have a team in place and give a brief summary of the background of the individual who will participate in the program.
Where did you hear about the Kauffman foundation FastTrac® TechVenture™ program?
Please check the topics you would like to learn more about:

Click here to send your application.