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Apply to PROPEL

You may submit your application to PROPEL online by completing the application form below, or downloading the PDF version and faxing it to us at 312.422.1145. PROPEL staff will review your application and schedule an in-person and/or phone interview to learn more about your business and technology. At that time, if we agree that the PROPEL program will benefit you and your company, we will work with you to determine several short-term goals where PROPEL can best assist and which PROPEL programs are appropriate to initiate.

All PROPEL participants must sign a Code of Ethics and review the PROPEL Handbook.


PROPEL APPLICATION

Complete all fields of the application. If a question does not apply to you or your company, please indicate that in the field. Please note:

Business Name:
Business Address:
City:
State:
ZIP:
Website:
   
Business Owner(s):
Phone:
Fax:
E-mail:
 

Company Description
1. Have you formed a company?
  Yes
  Is in the process of being formed now
  No
 
2. When was it founded and where is it located?
 
 
3. How many employees do you have? (including business owners)
  Full-Time number:
  Full-Time roles:
  Part-Time number:
  Part-Time roles:
 

Business Description
4. Do you have a business plan and/or executive summary? Note: Even if it is an early draft, this would be helpful.
  Yes (If yes, please email it separately to propel@ibio.org.)
  No
 

Management
5. What is your management team’s background, including their experience in this industry? Send (email) biographical statements if available.
 
 
6. What roles do you expect to fill within the next 12 months?
 
 

Technology
7. Briefly describe your technology (300 words or less—do not disclose any proprietary information on this application):
 
 
8. Have you conducted a patent or trademark search relative to your key product concept(s) and technology?
  Yes
  No
  If yes, explain:
 
9. Is your Intellectual property secured?
  Yes
  No
  Applied for
 
10. Do you have any non-disclosure agreements (NDAs) in place (has the technology been disclosed or received under an NDA)?
  Yes
  No
 

Customers
11. Who are your target customers? What is your target market?
 
 
12. Will your company itself pursue any of the following (vs. outsourcing) to get its products/services to market? (please check all that may apply)
Marketing
Sales
Manufacturing
Distribution
Licensing; if yes, explain:
Alliance(s); if yes, explain:
 
13. Against whom do you compete with in the market?
 
 
14. What are your business’s unique strengths and weaknesses, and how do they compare to those of your major competitors/substitutes?
 
 

Business Outlook
15. Briefly describe your strategic company goals and reasons for selecting these goals.
  Over the next year:
  Over the next five years:
 
16. Briefly describe the challenges facing the company.
  Over the next year:
  Over the next five years:
 

PROPEL Goal
17. What are the main two or three strategic growth goals that you want to explore with PROPEL?
 
 
18. Which areas of expertise and professional experiences are you most interested in receiving from PROPEL and why?
 
 
19. Do you regularly engage an independent peer advisory circle or an advisory board for business advice?
  Yes
  No
  If yes, explain:
 

Applicant Statement of Understanding:

The information in this application is provided for the purpose of participating in PROPEL and its programs jointly administered by iBIO and the iBIO Institute. In submitting this application, I certify that:

  1. To the best of my knowledge and belief, the information submitted herein is accurate, true and correct.
  2. I understand that if my company participates in PROPEL, I am responsible for ensuring that PROPEL is advised of any tactical business development or panel administration needs, including intervention in the event of any conflict of interest, inappropriate business solicitation, or instance of volunteer disengagement.
  3. I understand that if my company participates in the coaching program of PROPEL, I am responsible for:
    • Attending the mandatory strategy session with my selected coach, where I will give my preliminary company presentation.
    • Communicating and working actively with my selected coach toward the strategic objectives outlined in my application and agreed upon during my initial strategy session.
    • Preparing a panel presentation for the panel session that effectively communicates the company’s history, position and primary goal(s) for the upcoming year.
  4. I will sign and agree to the PROPEL Code of Ethics.
  5. I pledge to make a good faith effort to participate in PROPEL in the future, providing PROPEL with occasional business updates, and participate as a mentor, coach or panelist, if requested by PROPEL.

Note: By submitting this form you certify the truth and accuracy of the above statements.

Please type the word "PROPEL" into the text field below before submitting this form:


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