Fulton Entrepreneurial Professors Program application Short answers and bullet points are encouraged. Please tell us your name.* First Last What is your preferred email address?* The panel will be using this email address for Pitch Day communications. Please check it frequently on Friday, January 7.What is your preferred phone number?*The panel will be using this phone number for Pitch Day communications. Please be available to answer calls on Friday, January 7.Route to eligibility* ASU or National I-Corps program Venture Devils Demo Day Skysong Innovations Faculty Startup Competition None of the above, but I’m exceptional. ...and here's why I am exceptional.*What school are you affiliated with?* School of Biological and Health Systems Engineering School of Computing and Augmented Intelligence School of Electrical, Computer and Energy Engineering School for Engineering of Matter, Transport and Energy School of Sustainable Engineering and the Built Environment The Polytechnic School Please note that your school director will be asked for his or her support of your application.What are your research highlights at ASU?*Describe your previous technology commercialization experience, if any.Venture Name* Venture (or research lab) website URL Date the venture was formedMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If the exact date is unknown, indicate the first day of the month in which the venture was formed.What is the venture’s funding history?*Does the venture have a license agreement with Skysong Innovations?* Yes No Who is in the venture and what are their roles?*What is your envisioned route for transitioning this technology out of the university?*Select any options that you think may apply. See visual explanations of the routes. Train the lead entrepreneur (student or postdoc leads the venture) Hire the lead entrepreneur (outside entrepreneur hired to lead the venture) Become the lead entrepreneur (faculty member leads the venture) License the technology (no venture is created; the IP is licensed directly to a company not affiliated with ASU) Executive Summary*Accepted file types: doc, docx, pdf, ppt, pptx, Max. file size: 100 MB.Please upload a one-page executive summary for your venture. Per the submission notes, this summary should describe the problem, competition or state of the art, technology solution, value proposition, and technology and business development progress to date.What are your plans for using the Fulton Entrepreneurial Professors fellowship?*Anything else you would like to add?CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.