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Home « 2019 PFG Application Form

2019 PFG Application Form


Biotech Innovation Showcase & Forum		  

April 30 & May 1, 2019
FFA Enrichment Center
1055 SW Prairie Trail Pkwy
Ankeny, IA 50023

View Attendee List
(Updated on Mondays)
     
About Agenda Register Apply 1:1 Meetings Sponsors Hotels

The application deadline has been extended to January 18th!

Up to twelve (12) emerging biotech companies will be selected to present on April 30, 2019 and compete for the $5,000 prize.  Companies will be notified by early February to confirm if they have been selected to present.  Thank you for your interest!

For more information about the application process and event, please review our Frequently Asked Questions page.  If you have an immediate questions, please contact Melissa Moyer at melissa@iowabio.org or 515-327-9156.
* denotes a required field.
Contact Information
First Name: *
Last Name: *
Job Title: *
E-mail: *
Phone: *
Company Information
Company Name: *
Website URL: *
Company Logo: *
(jpg,png,jpeg)
Company Address: *
(Street, Suite, City, State, Zip)  
How Long Has Your Company Been in Existence?: *
Number of Employees: *
(Company-Wide)  
Have You Raised $100,000 or More?: *
Summary of Company Revenues for the Last Three Years: *
(50 words or less)  
Are You Seeking Investment Capital?: *
If You Listed "Yes" Above, Please Indicate How Much:  
Upload Your Financial Projections: *
(doc,docx,pdf,xls,xlsx)
Upload a Copy or Summary of Your Business Plan: *
(doc,docx,pdf)
Upload the Names and Biographies of Your Mangement Team Members: *
(100 words or less per Team Member)  
(doc,docx,pdf)
Upload the Names and Biographies of Your Significant Advisors: *
(100 words or less per Adviser)  
(doc,docx,pdf)
Technology / Research Topic
Name of Your Technology or Research Topic: *
Upload an Executive Summary of Technology/Research Topic: *
(250 words or less)  
(doc,docx,pdf)
Is Your Technology Still in the Development Stage?: *
Is Your Technology Commercialized?: *
Additional Feedback
Have You Given a Pitch to 250 or More People?: *
Please Enter Any Additional Comments or Feedback:  
(Optional)  
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