* 1. Venture Name:

* 2. Case Number(s) and Title(s) of UC IP you are using:

* 3. Briefly describe your venture idea.

* 4. In what area(s) of expertise do you need need the most assistance? (Be as detailed as possible, as this will be what information we use to pair you with members of our Experts-in-Residence network.)

* 5. Team Member #1

* 6. Team Member #2

* 7. Team Member #3

* 8. Team Member #4

* 9. Team Member #5

* 10. Team Member #6

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