Tech Incubator Application Fill out the following form to start your Tech Incubator Application Tech Incubator Application Step 1 of 4 25% Tell us about you and your companyCompany Name* Website* Address* Year Established*Last Year Revenue*Contact Name* Monthly Payroll*Contact Phone*Number of Employees*Contact Email* Number of Contractors*Please select all that apply to your company: Minority-owned Women-owned Service-Disabled Veteran-owned 501(c) Not-for-profit Tell us about the product or technology you’re developing (900 characters or fewer)Tell us about the product or technology you’re developing*Current development stage of the product or technology (select one):* Concept Only Successful Model/Test Development Prototype Production Prototype In-Field Testing In Current Use Funding sources to date (select all that apply):* Own capital Debt Equity Grants Awards Total funding to date:* What kind of help are you looking for from the WIN Technology Incubator?What kind of help are you looking for from the WIN Technology Incubator?* How did you hear about the WIN Technology Incubator?How did you hear about the WIN Technology Incubator?*CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Δ WIN 4955 Bullis Farm Rd Eau Claire, WI 54701 Get Directions
