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EVOLVE Application
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Name
*
First
Last
Phone
*
Email
*
Title
*
Company Name
*
Company Website
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Is this business minority owned?
Yes
No
If you checked the box to the left, to which ethnicity do you identify?
African American
Native American
Latin Amercian/Hispanic
Asian-Indian, Asian-Pacific, Pacific Island American
Is this business woman owned?
Yes
No
What industry does your business qualify in?
*
Additive Manufacturing
Advanced Materials - Energy
Advanced Materials - Environmental
Advanced Materials - Healthcare
Advanced Materials - Infrastructure
Aerospace and Defense
Agricultural Equipment and Engineering
Automotive Retail and Services
Banking and Financial Services (excluding FinTech)
Commercial or Industrial Sectors
Construction and Home Improvement
Consumer Analytics and Data Services
Consumer Products
Consumer Software
Cybersecurity or Defense
Education (excluding EdTech)
Electronics and Sensors for Communications
Energy - Fuel Cells
Energy - Solar
Energy - Waste Reduction or Conversion
Energy - Wind
Energy Sensors
Energy Storage or Distribution
Environmental Services and Equipment
Financial Technologies
Food Production, Processing and Safety
Food Service and Accommodation
Health Sensors
Healthcare and Human Services
Healthcare IT
HR/Staffing
Industrial Design or Manufacturing
Industrial IOT
Insurance
Leisure, Entertainment and Arts
Life Science - Consumer Products
Media and Publishing
Medical - Genomics
Medical - Regenerative Medicine
Medical - Therapeutics or Pharmaceuticals
Medical Devices
Medical Diagnostics
Microfabrication
Oil and Gas Extraction
Other
Professional or Technical Consulting
Prototyping, Modeling and Simulations
Real Estate
Retail (excluding Auto)
Robotics
Situational Awareness and Surveillance Systems
Software for Business (excluding Healthcare and FinTech)
Transportation and Warehousing
Please give us a very brief description of your company (limited to 255 characters).
*
What problem does your product or service solve?
*
Tell us about your existing sales, if applicable.
Do you have an existing pitch deck?
*
Yes
No
If you answered yes to the question to the left, please include your pitch deck here.
Accepted file types: pdf, ppt, pptx, Max. file size: 100 MB.
How did you hear about YBI?
*
School Tour
Start Up 101 Workshop
Email Newsletter
Online Ad: Social Media/Google Advertisement
Online Article: News Article
Online Search: Searching Online For Business Resources
Personal Referral: Through Family/Friend
Professional Referral: Through Another Organization
TV
Other
How can YBI help you? (Select one or multiple)
Advisory Services
Business Plan Development
Capital Access Planning
Funding
Incubator/Workspace
Other
Are you new to the YBI or have you worked with us before?
None
Idea Stage (<1 year)
New/Startup (1 - 2 year(s))
Existing (3-5 years)
Established (5+ years)
Established - Spin Out Technology
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Are you ready to elevate your business?
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