SBIR Technical Assistance Program

Please complete the following information and EnterpriseWorks will schedule an appointment for you.

First Name*
Last Name*
Email Address*
Phone Number*
How is your organization affiliated with the University of Illinois?*

Please check the box below if your organization is a small business or potential startup.
If you are already associated with EnterpriseWorks or Research Park, please search your company here.Company Name Lookup (New Window)
If your company is not found, please enter your company name.
Please provide the business address. If there is no business address yet exists, please provide your personal address.*
Please provide a short description of your technology or company.
If you have previously met with an SBIR consultant for assitance, please select the consultant's name(s).

For your next session, who would you like to meet with?*
Which type of SBIR/STTR assistance are you seeking?*

From which federal agency are you seeking funding?*
Please check the box below if you have previously applied for SBIR or STTR funding.
Please check the box below if you have participated in formal SBIR or STTR training.
Best time for you to meet for assistance:
For and in consideration of receiving consultation services from the Entrepreneur-in-Residence consulting program, I consent to and hereby discharge, release, and hold harmless the Board of Trustees of the University of Illinois and the Board of Managers of the University of Illinois Research Park LLC, sponsors and their affiliates, agents, volunteers, servants, employees, successors and distributors and waives, releases and relinquishes any and all claims for liability and causes of action, including for personal injury, property damage, wrongful death, errors, and omissions arising out of consultation services from the Entrepreneur-in-Residence consulting program, and/or any activities incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights and causes of action that the Client may have are hereby waived, released and relinquished. As the Client, I have read the Liability Release and understand that I have freely given up rights by agreeing to these terms without any inducement or assurance of any nature and intend to be a complete and unconditional release of all liability to the greatest extent allowed by law.
I agree