Application Form

Full Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Address

Street Address

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CityState / Province

Postal / Zip CodeCountry

Check the box that best describes the form of your idea:*

Check the box that best describes the nature of you as the applicant:*

You as a private individualYou representing a small team of people that have not yet formed as a companyYou representing a private companyYou representing a company wishing to create a spin-out around the new ideaYou as a researcher in a university or research centreYou representing a research centre or university

What is the name of the company you are representing?*

What is the name of the university you are a part of?*

What is the name of the research centre or university you are representing?*

Tell us what problem your idea will solve, why it matters, what benefit it may provide, and to whom (no more than 300 words) *

It is not essential, however if you have any validating data, please upload it below. Uploads are for hard data about the problem, the benefit, or the people who it will impact – not for more about your idea or product.

Upload only one of the following formats: pdf, doc, docx, xls, xlsx, csv, txt, jpg, jpeg, png or gif with a maximum size of 2MB

Upload a File

Describe your idea, research, product or service (no more than 300 words).*

Describe why or how it is different and valuable (no more than 300 words)*

It is not essential, however if you have any validating data, please upload it below. Uploads here are for hard data about the value of your idea and competitor solutions – not for more about your idea or product. An example of a upload that validates the value of the innovation will be a letter from a customer, or from a potential customer that expresses interest in the innovation.

Upload only one of the following formats: pdf, doc, docx, xls, xlsx, csv, txt, jpg, jpeg, png or gif with a maximum size of 2MB

Upload a File

What is the Technology Readiness Level (TRL) of your innovation? *

Level 1 – Basic principles observed and reported - future research and development requiredLevel 2 – Potential applications can be applied to basic principles and findings. No proof-of-concept at this stage.Level 3 – Proof-of-concept demonstrated, analytically and/or experimentallyLevel 4 – Validated according to industry standardsLevel 5 – Validated for use in a simulated commercial environmentLevel 6 – Fully functional prototype or representational model completedLevel 7 – Working model or prototype to be demonstrated in a commercial environmentLevel 8 - Technology demonstrated, but needs further refinement to become a Minimum Viable Product (MVP)Level 9 - Technology used in a commercial environment, and is a ready MVP to be sold to innovators and early adopters

Please provide us with information corresponding to your above selection.

For example, if you selected a TRL of 1, provide access to relevant journal articles; a TRL of 6, photos/videos of the prototype/demonstration or; a TRL of 9, relevant information of organisations who have used the technology, case studies. Tell us how we can see this. (e.g. a website and passwords if necessary or upload some files below).

Upload only one of the following formats: pdf, doc, docx, xls, xlsx, csv, txt, jpg, jpeg, png or gif with a maximum size of 2MB

Upload a File

How much capital and invesment money is needed to further the research and development to a TRL level of 7?*

Provide information on the equipment, expertise et cetera needed and the costs associated with these.

What assistance do you need with regard to next steps, to further commercialise your completed prototype? *

Need more funding? More team members? More clients? Better business development strategies?

Do you have any patents, trademarks, designs etc. or plans to lodge any?*

Tell us about it, list all your patents etc and detail their current status and jurisdiction.

How many partners/employees/team members are involved? Please tell us about the key members of your company/innovation/project.

Name, background, what successes they have had in the past and what do they bring to this company or innovation/project. Please provide LinkedIn profiles (or similar) for key members if at all possible (preferred). Also please inform us of the total number of your team and approximate hours they will commit to this innovation/company. If you can, tell us approximately how long each of you have worked on this project to date. If you are a research project from an institute or a university, is it your intention to remain as an employee of your current employer (we can accommodate either).

If you have raised money to date, tell us how much and how?

e.g. grants, loans, savings, partners, etc.

Our program provides free full time access to our coworking space in our offices in the Tonsley Innovation Precinct. The program runs for just over nine months. We will ask interstate participants to travel to Adelaide for 3 two day blocks. We will also ask you to be available for weekly progress meetings with Innovyz staff, which may be attended in person or virtually over Skype.

Should you be shortlisted, you will attend the following event:

The orientation weekend on the 2nd of November 2019. We invite 15 candidates to attend this weekend and from this our final 10 teams are selected.

Should you be selected and offered a position in our program, it is expected that you attend the following face-to-face and group meetings and events:

Mentor week 1 - 8th to 10th of December 2019
Mentor week 2 - 22nd to 24th of March 2020
Mentor week 3 - 24th to 26th of May 2020

The cost of all interstate travel is covered by Innovyz.

Confirm that you are willing and able to attend these key meetings and events:*

YesNo

Please tick the box below*

Please wait for the thank-you page after you click save/submit. Upload speeds vary depending on network connection.

When you click save/submit, you will recieve an email with a link to edit your application (if you need to do so). You can come back and edit at any time.

Applications will be viewed from the 27th of September onwards. Feel free to make edits up until this date.

In the email, you will also recieve more information about program dates.

Successful applicants will be notified by the 4th of October 2019.

If you have any questions, please don't hesitate to email us at application@innovyz.com