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Licensing with EASE Application
First Name
*
Last Name
*
Email Address
*
1. Has the invention been disclosed to Venture Partners at CU Boulder?
*
Yes
No
2. What is the reference number of the invention?
*
Format is CUXXXXB
3. What is the primary market application of the invention?
*
Physical Science and/or Engineering
Bioscience
Software
4. What is the legal name and address of the incorporated startup company?
*
5. Has an individual with relevant business experience joined the company as an executive or board member?
*
Yes
No
5.a. What is the name and role of that individual?
*
6. Have all university employees with roles at the startup both a) executed employment/consulting agreements with the company, where such agreements include the university’s standard third party employment/consulting addendum, and b) filed an updated Disclosures of External Professional Activity (DEPA) form?
*
Yes
No
7. How much funding has the startup company (not originating lab) obtained through any investment, grants, revenue, and/or debt financing?
*
$
Please enter a U.S. dollar ($) amount.
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