Full Membership Application - First Flight Venture Center

Full Membership Application

This application is used in part to determine the eligibility for residence at First Flight. Additional information may be required as part of the application process. Proprietary information will be treated as confidential.

Fields marked with an * are required.

Full Name *

Email Address *

Company Name

Current Physical Address *

Mobile Phone Number *

Brief Description of Your Technology/Science *

Number of Years in Business *

Are you a woman or minority owned business? *

Are you a veteran owned company? *

How did you hear about us? *

Company Type *

Number of current employees (F/T, P/T, Interns) *

Number of Board Members *

Are you currently funded? Check all that apply *

Friends and Family

SBIR/STTR

Angels

Other

If other, please list response below.

Name of corporate attorney *

What is your corporate structure? *

Any patents or patent applications *

Do you have a business plan or financials? *

What types of space do you need? *

Office

Lab

Shared Office

Prototyping

Conference Rooms

If you need a lab, please check all that apply *

Sink

Vented Chemical Hood

Non Vented Biological Hood

Freezer/Refrigerator Space

Special electrical power requirements

Other specific needs for the office/lab

If other, add information below. *

What is your current timeline for needing space? *

What First Flight Programs are you interested in? *

LiftOff (Non-dilutive funding program for SBIR/STTR)

DRIVe (BARDA health security funding)

Navigators (Entrepreneur in Residence / Mentoring)

Science Start-up Bootcamp (Business education programming)

Founder Roundtable (Peer advisory group)

Hangar6 (Advanced prototyping / metal shop / wood shop)

What are some business challenges you would like help with? *

Any additional information you would like to share with us?

Please verify that you have checked the “I'm not a robot” checkbox.