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NDSS - SBIR/STTR Request for Assistance
PART I Contact Information:

Note: Your business does not have to be established at this time in order for you to be eligible for assistance.

Company Name:
Point of Contact:
Position:
 
Work Phone:
Cellular Phone:
Fax:
 
E-mail Address:
Website:
 
Would you like to receive the NDSS SBIR/STTR Newsletter? Yes | No
 
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
 
 
PART II Information About You and Your Business:
 
Organization Type:
State of Incorporation (if applicable):
Type of Business:
Business Size:
Month Established:
Year Established:
Number of Employees:Full Time:       Part Time:
 
Brief Description of Your Company:
 
Ethnic Group:
Veteran Status:
Gender of Owner:
What is your education level?
Education Discipline:
Please select your scientific or technological area:
Is your company working with a university or research institution? Yes | No
If so please name the facility.
Is your company working with a larger company? Yes | No
If so please name the Company.
 
How did you hear about the NDSS SBIR/STTR?
 
PART III What type of assistance are you seeking?
Check those items that are of most interest to you:
R&D Opprotunities (SBIR, STTR, ATP)
Proposal Development and Review
Market research/analysis
Referral to Professional Services (legal, financial, HR, PR, etc.)
Business Planning (writing a business plan, building a management team, strategy, etc.)
Partnering Oportunities (corporate, university, etc.)
Commercialization Assistance
Sources of capital
 
 
 
  If you have any questions, comments and/concerns, contact the C! WEBMASTER
North Dakota SBIR/STTR (NDSS)
Center for Innovation
Ina Mae Rude Entrepreneur Center
The University of North Dakota
4200 James Ray Drive
Grand Forks, ND 58203 USA
Phone: 701.777.3132
Fax: 701.777.2339
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This institution is an equal opportunity employer and provider.
 
 
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