Nanovate™ Request Form

The newly announced Nanovate™ program offered by NorTech and the Nano-Network will provide companies in Northeast Ohio with options for scientific and technical business development solutions based on recent advances in nanotechnology across multiple industries. We aim to help companies discover innovative 'nano-ized' solutions to advance their growth opportunities. This specialized consulting program is an inexpensive and proactive means to investigate future research and development solutions. The overreaching goal of the Nanovate™ program is to give Northeast Ohio companies a competitive advantage ahead of others in the U.S. To apply, fill out the form below. For more information download our Nanovate™ PDF.

First Name*: Last Name*: Company Name*: Job Title: Address: City: State: Zip: Phone Number:
(555-555-1234) E-mail Address*: Company Web Site:

What product(s) or service(s) does your company sell? Can you tell us a little bit about your company structure, history, product evolution, etc.? What is your annual revenue?

What are your annual expenditures on research and development both locally and worldwide?

How many employees are in your company?

What percentage of these employees are scientists and engineers (approximately)?

Are any of your company's products/processes/services influenced by nanotechnology?

If yes, please describe the product/process/service influenced by nanotechnology? Has your company ever received federal or state funding to pursue some aspect of nanoscience or nanotechnology research and development (e.g. from an SBIR)? If yes, please describe the project(s), when it (they) occurred and how much funding was received. Does your company own any patents relating to nanoscience or nanotechnology? Does your company own any equipment, tools or infrastructure that are specifically designed for nano related research and development? If yes, please describe the equipment(s), tool(s) and/or infrastructure.

How much general knowledge about nanotechnology do people in your company have?

Are you interested in the technical consulting services offered through the Nanovate™ program?

If yes, and if you have already thought about how you might specifically use these technical consulting services, please describe how you think we might help you: If you are currently looking to link up or collaborate with other companies or researchers to fulfill a need in your company, please describe the need and the type of company/researcher you are looking for: Are you interested in a "Nano 101" short course presentation at your company? How did you hear about NorTech's nano consulting services?