Apply for TechLift Services

To qualify for TechLift support you need to be:

A technology entrepreneur working in one of TechLift’s Signature areas (Advanced Materials, BioSciences, Electronics, Information Technology, Advanced Energy)
Have formed or are forming a company within the 21 counties of Northeast Ohio (Ashland, Ashtabula, Carroll, Columbiana, Crawford, Cuyahoga, Erie, Geauga, Holmes, Huron, Lake, Lorain, Mahoning, Medina, Portage, Richland, Stark, Summit, Trumbull, Tuscarawas, and Wayne)

Just fill out the form below and the appropriate TechLift Signature EIR will contact you within one week.

* Indicates a required field

Apply Request Form

Contact Information

*Title: *First Name: *Last Name: *Company Name: *Job Title: *Address:

*City: State/Province: *Zip: (You must provide your zip+4 code. If you do not know the additional 4 digits of your zip code, you can look them up by clicking here.)

* Phone Number: (Please use the format
xxx-xxx-xxxx) Cell Phone Number: (Please use the format
xxx-xxx-xxxx) Fax Number: (Please use the format
xxx-xxx-xxxx)

*County:

* Email Address: Website:

Business Information

*Industry Categorization:

*Provide a brief summary of your company/product/idea: (100 words or less) * If your company relies on intellectual property ("IP") such as patents or trademarks for its competitive advantage, does the company (versus an individual) own or have exclusive license to the IP? Yes
No
N/A Feel free to elaborate on your IP situation here: (100 words or less) *What operating stage is your company in? Imaging – Technology and business model are conceptual, not yet developed
Incubating – Technology and business model are in development, but products are not yet for sale
Demonstrating – Prototype technology can be shown and orders for product can be taken
Market Entry – Product shipping
Growth and Sustainability - Established business, plan to increase market share/revenue/profits *How much cash has been invested in the business to date? *Please indicate sources of investment: (check all that apply) Owner/Founder Grants Friends and Family Angels Venture Capital Sales Revenue Loans None Other (please specify) *How much money are you seeking at this time? (If none, please indicate)? *Are you interested in pursuing a high-growth business strategy (i.e. creating a business model designed to achieve $30 million in revenues within the next five years) which may involve raising money from outside sources, including venture capital funds? Yes
No
Not Sure *Are you willing to have your percentage ownership of the company decrease as a result of taking on additional investment capital? Yes
No
N/A *Is this a minority-owned company? Yes
No If yes, please specify: *Is your company woman-owned or managed? Yes
No *Is at least one person working for the company on a full-time basis? Yes
No *How many full-time employees work for the company? *We only work with businesses located in Northeast Ohio. Are you located in Northeast Ohio or will you agree to locate here as needed? Yes
No How did you hear about TechLift? If personal reference, please specify:

We are focused on Northeast Ohio's signature technologies:

Advanced Materials, BioSciences, Electronics, Information Technology, Advanced Energy

North Coast Opportunities Technology Fund -- early-stage capital for Cuyahoga County technology entrepreneurs -- is now available.

Click here for more information.

TechLift c/o NorTech TechLift c/o NorTech

737 Bolivar Road Suite 1000

Cleveland, OH 44115

P (216) 363-6883

F (216) 363-6893

techlift@nortech.org