UI Innovators Workshop Application | John Pappajohn Entrepreneurial Center

Project Name

What is your team or startup name?

Provide a brief description of your technology or idea.

Provide a brief description of your competition and your competitive advantage.

What is the IP status of your technology?

Does your technology or idea have a website? If yes, please put the link below.

Does your technology or idea have any social media accounts?

TEAM LEAD INFORMATION

Name of Team Lead (Founder)

This is usually the individual that has come up with the idea.

Team Lead Email Address

Team Lead Phone Number

Team Lead University Department

Team Lead Mailing Address

Please include COUNTY

Team Lead Biography

How many additional team members do you have?

TEAM MEMBER 2 INFORMATION

Name of Team Member 2

Team Member 2 Email Address

Team Member 2 University Department

Team Member 2 Biography

TEAM MEMBER 3 INFORMATION

Name of Team Member 3

Team Member 3 Email Address

Team Member 3 University Department

Team Member 3 Biography

TEAM MEMBER 4 INFORMATION

Name of Team Member 4

Team Member 4 Email Address

Team Member 4 University Department

Team Member 4 Biography

How did you hear about I-Corps Innovation Workshop?

Media Release

BY TYPING MY NAME IN THE FIELD BELOW, I AM AGREEING THAT I AM AT LEAST 18 YEARS OF AGE, AND THAT I'VE READ, UNDERSTOOD, AND GIVEN PERMISSION FOR THE USE OF MY LIKENESS OUTLINED HERE: I hereby provide permission for the University of Iowa and John Pappajohn Entrepreneurial Center to use, reproduce, electronically publish and display my name and company name, photograph, and any information provided by me in all media including, but not limited to, newpapers, magazines, television, radio, and Internet websites for the purpose of promoting the John Pappajohn Entrepreneurial Center and the University of Iowa. I undertand that this media will be accessible throughout the world and that stories may be in written, video and electronic form.