<p>UCF NSF I-Corps Site Team Application</p><p>This application is to be used if you are applying to participate in the UCF NSF I-Corps Site Program with a technology you or your team has already identified. A full team consists of an Academic Team Lead, Entrepreneurial Team Lead and Business Mentor. If you don’t have a full team you only need to include information for the team members you do have, and we actively work to pair you with additional team members. You will need to have a full team before participating or moving on to the selection process.</p><p>It is expected that UCF NSF I-Corps Site awardees will complete a 4-week workshop course. At the conclusion of the I-Corps Site program and workshop you will have a stronger understanding of the market opportunity, product & market validation, the path to market for your technology and the overall competitive landscape. Participation in the I-Corps program could lead to potential outcomes ranging from significant industry contacts, ongoing research, opportunities for commercialization funding and a “go/no go” decision to form a company.</p><p>Preference will be given to teams with the passion, motivation and resources.</p><p>Contact Information</p><p>Academic Team Lead (Faculty/Staff Member) Name: University Affiliation: Department:UniDepartment: Phone Number: Email Address: Years at University:</p><p>Entrepreneurial Team Lead (Student, Post-Doc, or Staff) Name: University Affiliation: Degree Program (B.S., M.S., ExpectedPh.D.): Graduation Date: Phone Number: Email Address:</p><p>Description of Team</p><p>Provide a description of the business and technical experience for each member of your team. (2-3 sentences per person).</p><p>Description of the Technology 1 of 3</p><p>Have you submitted an invention disclosure of your technology to the UCF Technology Transfer Office?</p><p>Relevant Patent Application Number(s):</p><p>One paragraph non-technical description of technology (3-4 sentences):</p><p>Commercial Potential The questions below are intended to serve as a baseline for the course. You are not expected to know specifically how the technology will be used. We merely want to get your initial ideas about potential.</p><p>What is the problem or market need that your idea is trying to solve?</p><p>Who do you think will buy the product or service? (Please provide a general description and any relevant examples.)</p><p>What competitive advantages do you think the technology has over current products or services?</p><p>Business Mentor</p><p>2 of 3</p><p>Have you identified a business mentor that you would like to work with on this project?</p><p>Yes – I have a business mentor (complete No – Please assign me a business mentor Name: Phone Number: Email Address: Relevant Business Experience:</p><p>Participation in UCF I-Corps Site</p><p>Why do you want to participate in the UCF I-Corps Site program?</p><p>If selected, how would you use the $2,550 award?</p><p>What do you hope to learn? </p><p>What outcomes do you want to achieve?</p><p>Optional: Please provide your Business Model Canvas if you have completed one via prior work with UCF Venture Accelerator, UCF Blackstone LaunchPad, or another source.</p><p>Please submit this application via email to Vanessa Zabala: [email protected] Questions: Please email [email protected] or call 407-823-3969</p><p>3 of 3</p>