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Thank you for applying to participate in Steep Hill’s licensing program. By completing this Licensee Application, we will prioritize your application above General Licensing Inquiries, and the information you provide will help accelerate the discussions between our firms.

Please note that the questions below do not intend for you to submit any information that you deem confidential. Rather, the information you supply is intended to help the Steep Hill executive team do an initial analysis of your potential fit as a licensee. Should we decide to take discussions to the next level, we will contact you and execute a Mutual Non-Disclosure Agreement together to protect the confidentiality of our discussions.

The application should take no more than about 15 minutes to complete, if you have the following information readily available:

            - Bios and qualifications of the key team members / principals
            - Descriptions of relevant business and lab experience
            - General business concept / plan / intention

Thank you for applying to become a licensee! We will review your submission and get back to you as soon as possible. Please allow up to 3 business days for a response.

Please fill in the information below:

How far along are you in your business planning? Please check all that apply:
How far along are you with your financing? Please check all that apply:

Information About Your Team

Are you the Principal/Chief Executive?
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How many additional key team members do you have?
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Have you already formed a business entity that you intend to utilize as the licensee entity in a contract with Steep Hill?