NYC EnergyTech Application Question Title * 1. What technology is your company developing? Question Title * 2. What is the name of your company? Question Title * 3. List the primary decision maker at your company. Name: * Company: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Question Title * 4. Where is your company incorporated and where is it's primary place of business? New York, NY --> New York, NY Other (please specify) Question Title * 5. Why are you seeking virtual incubation for your company? Need entrepreneurship training to speed commercialization. Need access to investment community. Need SBIR assistance. Need help developing a prototyping and manufacturing strategy. Want to learn Lean Product Development. Want access to a larger network of technologists and strategic partners. Need help protecting my intellectual property. Other (please specify) Question Title * 6. What stage would you say your technology is in on the path to commercialization? Concept / Thought / Idea Proof of Concept / Prototype Product Beta Final Candidate / Commercialized Concept / Thought / Idea Proof of Concept / Prototype Product Beta Final Candidate / Commercialized Other (please specify) Question Title * 7. What is your primary NAICS / SIC code? NAICS SIC Question Title * 8. How much financing has your company raised to date? Question Title * 9. What type of financing is your company looking for in the near future? Seed Loan Seed Equity Series A Equity Receivable or Inventory Financing Other (please specify) Done