Thank you for your interest in the Life Science Washington Institute Start-up Assistance Consulting Program.  Please direct any questions to Dr. Ingrid Ruf (ingrid@lswinstitute.org). 

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* 1. Company Information

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* 2. Company/Organization Category

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* 3. Brief Description of innovation or business

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* 4. Has your company successfully raised capital? Includes dilutive and non-dilutive sources

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* 5. Source of company IP?

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* 6. Are you actively fundraising? 

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* 7. Stage of company

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* 8. Please identify a few issues that you would like to cover during your visit

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* 9. Are you interested in applying for our Washington Innovation Network (WIN) Mentoring program? 

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* 10. How did you hear about our startup assistance consulting?

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