OBI BioMentor Program - Entrepreneur Registration

OBI BioMentor Program - Entrepreneur Registration Form
Contact Information
Name *

First Name Last Name
Title *
E-mail *
Company Information
Company Name
Company Website
Oregon BIN #
(For internal purposes)
University Affiliation
Funding Stage *
What types of products are you developing?

Therapeutics Diagnostics Device Tech / Digital Health
How can we help?
Please briefly describe the type of advice and assistance you are seeking

0/200
If you have a preference please name your top three biomentor selections. The complete directory can be found here.
Mentor #1

First Name Last Name
What would you like this mentor to provide advice and assistance on?
Mentor #2

First Name Last Name
What would you like this mentor to provide advice and assistance on?
Mentor #3

First Name Last Name
What would you like this mentor to provide advice and assistance on?
Intake Checklist

Please review the list below and check the topics that you would like advice and assistance on. This will help us select the OBI BioMentors best suited to meet your needs.
Accounting

General Bookkeeping Payroll Bookkeeping systems Accounting basics Funding requirements / Cashflow planning
Legal/IP

Entity/company formation Entity/company structure and type Patents and protection of IP Agreements Trademarks Copyright Mergers International issues Real estate Tenant representation Lease negotiations Human relations HR contract negotiation
Private Investment Funding

Banks and lines of credit Angel and venture funding International Foundation funding Non-dilutive funding Other funding sources (crowd sourcing etc...) Investor pitches Private equity
Government Funding

Government agencies (DOD etc...) Collaborative research and development agreements State and local Small business grants (SBIR/STTR)
Product Development

Early-stage product development Product management Drug discovery Small molecule Biologics Medicinal chemistry Drug design Product design Engineering Outsourcing Proof-of-concept Pre-clinical strategies and issues Clinical development options and strategies Clinical trials Drug discovery Drug development Lead optimization Contract research organization (CRO) Contract management organization (CMO) Data analysis Bioinformatics Biosensors Biomedical engineering Design controls Hardware diagnostics
Regulatory/FDA

FDA guidelines International guidelines (ISO, CE, UL) Regulatory strategy GLP / GMP / GCP compliance Biotech regulatory affairs Regulatory submissions
Manufacturing/ Supply Chain

Formulation Outsourcing Vendor selection Quality assurance
Market Analysis

Targeting markets Market assessment Industry analysis Competitive analysis International considerations Pharmaceutical industry know-how Forecasting
Marketing/Sales

Public relations Agency Website development Branding Brochure, logo, etc... Collateral materials Partnership identification Regulatory restrictions Establishing a sales network Establishing a distribution network
Management

Establishing a growth plan Management - best practices Coaching and development Recruiting and outsourcing Operations IT Capital Equipment
Business Planning

Business plan creation Strategic planning Strategic partnerships Commercialization strategy Early stage business Business development Due diligence Financial modeling
Workshops and Talks at the OBI

Are you interested in attending workshops on the following topics?
Workshop Topics

SBIR/STTR Grant Writing Investor Pitching Market analysis
What topics would you like to hear talks on at the OBI?
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OBI BioMentor Program - Entrepreneur Registration Form