Oro Valley Innovation Labs

Tenant Application Form

Application for Tenancy

Information submitted is deemed confidential and will be held in confidence.

For more information or additional questions, reach out to:

Eric Smith
Executive Director
University of Arizona Center for Innovation
esmith@uacenterforinnovation.com

Application contact name and title: *
Business Name *
Full Address *
Telephone: *
Cell Phone: *
E-mail: *
Website: *
Type of Partnership: *	Corporation Partnership Sole Proprietor
Company Form: *	C-Corporation S-Corporation Limited Liability Corporation
Principle Management & Titles *
Nature of business – include a brief description of product/service and nature of market. Submit brochures and company business plan, if available. *
Provide a brief background of principal officers, attach CV, resume and/or bio sketch: *
Status of business (e.g., working on prototype, product in advanced development, etc.) *
Date business was established: *
Number of employees (designate full-time, part-time and/or volunteers) *
Projected 12 month number of employees (designate full-time, part-time and/or volunteers)
Current Space Needs (Square Feet) *
Projected 12 Month Space Needs (Square Feet): *
Current Sales Revenue:
Type of financing used to operate business	Venture capital firms Private investors Personal resources Other
If "other," please indicate nature of funding:
Status of business plan:	Completed In preparation None
If "completed," please attach copy:
If "in preparation," note the date it will become available:
Would you like help writing your business plan?	Yes No