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Screening Form
Sidebar Text

For TCA to help assess your invention / project, we need some basic information. Please fill in the boxes below. Then just hit the "submit" button, and you're done. We realize that there may not be answers to all of the questions at this time, so please leave blank those questions that are not applicable. The information we are gathering is for qualification purposes only. Please limit each category to fewer than 150 words. If you have any questions, please email kallen@marshall.usc.edu

Name:

Phone Number:

E-mail:
Referred By:
Project Name:
Institutional Relationship:
Project Web Site:

Project Description
(in a couple
sentences only)
Founder Background
(what is your expertise?)
Market Opportunity
(What is the problem you're solving?)
Customers
(first customer; how will you make money?)
Competitive Advantages
(Is your technology protected?)
Funding History
(How have you funded your
technology to date?)
What type of mentor help are you seeking? Legal, financial, accounting, start-up?

The Mentor Schedule Date and Time you are requesting (1:30-3:30 in half-hour blocks)

Sept 17
October 15
November 19
January 21
February 18
March 11
April 15