Life Science Washington Business Library - Session Request Form

Please fill out this brief survey to request a Session Time at the Business Library. Commercialization Associate Christina Cantillo will reach out after your submission is received.

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* 1. First Name

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* 2. Last Name

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* 3. Company/Organization Name

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* 4. Contact Email Address

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* 5. Contact Phone Number

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* 6. Company Address

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* 7. City

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* 8. Zip Code

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* 9. Company/Organization Category

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* 10. Number of employees

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* 11. What stage is your company (i.e., idea, proof-of-concept, series A, market ready, etc)?

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* 12. Source of the company's IP?

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* 13. Has your company successfully raised dilutive capital?

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* 14. If so, approximately how much?

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* 15. Is your organization a Life Science Washington member?

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* 16. Brief description of your innovation or business?

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* 17. What subject areas are you looking to research?

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