Adopt A Startup At UTRGV

Program Application:
UTRGV students actively impact the local business community by adopting startups and supporting entrepreneurs in the development of a business plan using the Business Model Canvas. Working in teams, students learn how to develop and test ideas by gathering massive amounts of customer and marketplace information; this helps them find unmet customer needs to establish a suitable business model and value proposition.

In Business V-Program:
Location: BMSL 1.120 or Virtual Blackboard Ultra on Tuesdays, 5:00 PM a 6:15 PM
Date: Tuesdays, 5:00 PM to 6:15 PM

Participants must commit to attending the following class sessions on Tuesdays from 1:30 PM to 2:30 PM.

Attendance to these sessions and active participation in the research process is critical to the success of the business model. Attendance at the final presentation is mandatory.

Contact Information Company Legal Name (Required) (Special instructions) Company Street Address (Required) City (Required) State (Required) Zip Code (Required) County (Required) Format: (956) 000-0000 Company Website Company Facebook Page Company Owner (Required) Position (Required) Address (Required) Work Phone (Required) Cell Phone (Required) Email Address (Required)

Contact Person (If Different) Contact Name Contact Position Contact Work Phone Contact Cell Phone Contact Email Address Contact UT Affiliation Contact Referral from (Required)

Company Information Years in Business (Required) Legal Entity (Required) Status (Required) Date Established (Required) Format: mm/dd/yyyy Number of Establishments or Locations (Required) Company Ownership (Required) Format: Male pct_____ Female pct _____ Company Industry (Required) Last Years Sales (Required) Last Years Total Profit (Required) Investment Estimate (Required) Annual Payroll (Required) Average Training Money Spend per Employee/Year (Required) Total Number of Full Time Staff (Required) Total Number of Part Time Staff (Required) Geographic Area Served Intellectual Property (Required) Held Patent Number Licenses License Held Company Mission Statement (Required) Format: (350 characters or less) Brief Description of Company / General Product-Service Description (Required) Format: (500 characters or less) What has been your greatest Company success? (Required) Format: (200 characters or less) What has been your greatest Company challenge? (Required) Format: (200 characters or less) Please tell us about how you will benefit from participating in the Adopt a Startup Program (Required) Check if you currently have any of these (Required) Are you willing to share important Company and financial information so students can complete research on your company? (Required) Format: (All UTRGV faculty, staff, students, and ECC staff are required to sign the ECC Non-Disclosure agreement)

Commitment The students working on this program will dedicate approximately 12 hours per week. It is important that, if selected, you commit to meet with the students a certain number of hours every week. I am willing to dedicate the following number of hours per week to this project (Required) Format: (minimum 5 hours per week)

Sign & Date Date of Agreement (Required) Format: mm/dd/yyyy Name of Applicant (Required) Signature (Required)

The University of Texas Rio Grande Valley

Entrepreneurship and Commercialization Center Division of Governmental & Community Relations

Adopt A Startup At UTRGV