Where innovation gets down to business.

Client Application

Tampa Bay Innovation Center Application:

Submitting an application is the first step to obtaining assistance from the Tampa Bay Innovation Center and TEC Garage.  

1.
*

Program applying for:

Coworking   Incubator Coworking
Reserved Desk   Private Office
2.
*

Company Name:

3.

Company Website

4.
*

Principal Officer/Title:

Contact Information for Primary

5.
*

Name:

6.
*

Title:

7.
*

Home Address:

8.
*

City:

9.
*

State:

10.
*

Zip:

11.

E-mail:

12.
*

Primary Phone:

Company Information

13.
*

Description of product/service:

14.
*

Company form:

S-Corp   Sole Proprietor   C-Corp
LLC   Other   Not established
15.
*

Date established:

16.
*

Status of Company:

Start-up   Product Development
Prototype   Full Operation
17.
*

Number of employees (FT/PT):

18.
*

Are you working on this business full time?:

Yes   No
19.
*

Financing to Date:

Personal   Venture Capital
Private Investors   Other
20.
*

Status of business plan:

Not started   Partial   Completed
21.

North American Industrial Classification (NAICS). If you don't know what your NAICS code is, please click here.

22.
*

Primary services requested:

Consulting Services   Access to Capital
Telecommunications   Facility Space
Strategic Partners/Alliances   Other
23.
*

Intellectual Property status:

Patent Pending   Patent   Exclusive License
Copyright   Non-exclusive License   Copyright Pending
24.
*

Applicant hereby acknowledges that its application to and submission of information to the Review Committee of the Tampa Bay Innovation Center/TEC Garage does not guarantee admission into the incubator program nor does it create any rights in applicant to future consideration. The Review Committee retains full discretion as to admission into the Program and reserves the right to reject any applicant for any reason.  Applicant hereby waives any right of appeal or legal action against any and all parties associated with the Incubator, including but not limited to Pinellas County, Pinellas County Industrial Development Authority, Pinellas County Economic Development Authority, Tampa Bay Innovation Center and the member of the Review Committee. All applications will be held in confidence and will be retained in the Review Committee’s files unless otherwise requested in writing by applicant.

Applicant agrees to indemnify, defend and hold harmless the Tampa Bay Innovation Center/TEC Garage, its directors, officers, employees, operator, consultants and any Governmental agencies associated with the Incubator from any and all claims, actions, causes of action, damages and liabilities asserted against the aforementioned individuals or entities arising out of or in any way connected with the activities and services provided by the Incubator, including, but not limited to, the provision of space, training or classes.

Do you acknowledge that you have read and acknowledge the above disclaimer?

Yes   No

There is a two hundred dollar ($200) application fee payable to Tampa Bay Innovation Center as part of the vetting process.  Payment is due once the company is accepted into the program. 

* Email Address:

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