Licensing Form

Let’s Explore Your Innovation

We’ll use this info to help determine next steps for licensing, partnering, or strategic support.

Prénom *

Nom de famille *

Adresse électronique *

Numéro de téléphone (facultatif)

LinkedIn (Optional)

What Are You Sharing or Exploring?

I’m submitting a patent (filed or provisional)

I have a working prototype or product

I have a business or IP I’d like help licensing

I’m seeking investors or strategic advisors

I want help shaping my idea into something licensable

Autre

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What Area Best Describes Your Innovation?

MedTech (devices, imaging, sensors)

Graphene / Advanced Materials

AI / Healthcare Automation

Diagnostics / Wearables

Data platforms or clinical workflow

Autre

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Give Us a Quick Overview

Just a few sentences. No need for NDAs or files yet — we’ll follow up with secure instructions if needed.

What does it do, who’s it for, and what stage are you at? *

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What Would a Win Look Like?

Licensing to an established company

Help with investor positioning

Advisory board or strategic feedback

Partnership or co-development

IP packaging / pitch refinement

Just feedback for now — not ready to share yet

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Just One More Step

I confirm I’m submitting this voluntarily and understand that no NDA is in place at this stage.

If we move forward, we’ll provide NDA and secure file channels. We won’t share your details or idea without consent.

(Optional)

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Licensing Strategy Intake

Let’s Explore Your Innovation

What Are You Sharing or Exploring?

What Area Best Describes Your Innovation?

Give Us a Quick Overview

What Would a Win Look Like?

Just One More Step