Technology Park Project Declaration Form
Use this form to declare a technology park project and provide the organization, project, space, and timeline details needed for review.
Project Overview
Project Name
*
Project Category / Type
Startup
R&D
Software
Hardware
AI / Data
Biotech
Other
Project Summary
*
Primary Technology Area / Domain
Organization and Contact Details
Organization / Legal Entity Name
*
Submitter Full Name
*
First Name
Middle Name
Last Name
Job Title / Role
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project Requirements and Declaration
Proposed Location / Building or Unit Preference
Please Select
No Preference
Specific Building
Specific Unit
TBD
Other
Estimated Project Start Date
-
Month
-
Day
Year
Date
Space / Facility Needs
Please Select
Office
Lab
Workshop
Coworking
Mixed Use
Other
Expected Team Size
Declaration / Acknowledgment
*
I confirm the information provided is accurate and I am authorized to submit on behalf of the organization
Submit
Should be Empty: