At a basic level, IW companies should meet certain criteria, including:

• U.S. owned
• Located in or willing to relocate to its headquarters or primary operations to Southwestern Pennsylvania
• Currently employ fewer than 50 people
• Developing a proprietary technology in an area such as: life sciences (medical devices and biotechnology), information technology (hardware, software, internet infrastructure
• Products or services address high-potential emerging and growing markets
• A clear and compelling value proposition
• A strategy to achieve full-scale commercialization
• Entrepreneurs and other leaders possess passion and dedication to the commercial success of the company
• Likely to attract funding from private investors

A Few Questions
To be considered for investments of risk capital and expertise, we ask that you complete the following questionnaire. Required fields are marked in bold.

Contact Information   Title: -None-Dr.HonorableMissMrs.Mr.Ms.Prof.   First Name:     Middle Name:     Last Name:     Suffix:   -None-Esq.IIIIIIVIJr.M.D.Ph.D.Sr.V   Company Name:     Job Title:     Address One:     Address Two:     City:     State:   - Select One -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming   Zip:     County:   - Select One -AlleghenyArmstrongBeaverButlerFayetteGreeneLawrenceWashingtonWestmorelandOther CountryOther County in PAOther State in U.S.   Municipality:   - Select County First -   Phone Number:   ( ) - x   Fax Number:   ( ) -   E-Mail:     Web Site:     Additional Company Information   If you are from outside the southwestern Pennsylvania region, why are you interested in locating here? (3 sentences or less)     Abbreviated company description: Describe key company products and services. Emphasize differentiating characteristics. (100 words or less)     Please attach your business plan or executive summary: If you do not yet have a business plan, leave this blank.   Company Legal Type:   - Select One -Not formed yetCorporationNon-profit CorporationPartnershipSole ProprietorshipSub-S Corporation If a Corporation, what are the state and date of incorporation? - Select One -ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVIVAWAWVWIWY (mm/dd/yyyy)   Stage of Development:   1. Concept 2. Alpha Product Development 3. Service Prototype 4. Beta Test / Clinical Trials 5. Shipping Product 6. Other (please specify)   Number of full-time employees: (total worldwide)     Management Team   1. Name:               Title:     2. Name:               Title:     3. Name:               Title:     Capital Investment to Date   Amount: (in dollars)     Source:   Angel Investor Bank Friends and Family Self Venture Capital Other (please specify)   Investment amount that company is seeking from Innovation Works: (in dollars)     Other than capital, what are your immediate resource needs?:   Business Mentoring Corporate Contacts Management Team Hiring Professional Services Other (please specify)   How did you hear about Innovation Works?:     Have you had contact with Innovation Works previously?:   Yes No If yes, with whom did you work?       Terms and Agreements       Innovation Works is a non-profit economic development agency serving the citizens of southwestern Pennsylvania. If we agree to provide you with business assistance, we will do so at no charge to you. We disclaim (and you waive) all warranties related to the assistance we may provide to you, and you also agree that neither Innovation Works, its directors, officers, employees nor agents shall be liable to you for any damages, including, without limitation, loss of profit or business opportunity. I Agree