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Our Team
Event Calendar
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CWIH Service Request
Request Assistance
Please provide us with the following demographic information so we can better assist you.
First Name
Last Name
Email
Phone Number
Name of Company/Venture (if known)
Website URL
Company Legal Structure
Sole Proprietorship
Partnership
LLC (Limited Liability Company)
S-Corp
C-Corp
Nonprofit Organization
Not yet established
In which city (or cities, if applicable) is your business primarily located?
Briefly describe your innovative idea or product/service (focus on the problem it solves).
Does the founding team identify with one or more of the following?
Hispanic/Latino/LatinX
American Indian/Alaska Native
Native Hawaiian/Pacific Islander
Black/African American
White
Middle Eastern/North African
Asian
Other
Male
Female
Non-Binary
Person with a Disability
Veteran
Federally Recognized Tribal Member
None of the Above/Prefer Not to Answer
What is the current stage of development for your innovation?
Idea/Concept Stage
Prototyping/Minimum Viable Product (MVP)
Early Market Validation/Pilot Phase
Revenue Generating/Scaling
Mature Business Seeking New Innovation Support
How would you rate the current level of maturity of your business plan?
(1=Concept only, 5=Fully documented and stress-tested)
1
2
3
4
5
What is the primary industry sector of your innovation?
Technology/Software
Advanced Manufacturing
Clean Technology/Renewable Energy
Life Sciences/Biotechnology
Food/Beverage/AgriTech
Healthcare/Medical Devices
Education Technology (EdTech)
Retail/E-commerce
Other
Which of the following services are you primarily seeking from the Cascades West Innovation Hub?
(Select all that apply)
Business Mentorship and Coaching
Funding Strategy and Investor Connections
Access to Prototyping/Testing Facilities
Intellectual Property (IP) Guidance
Market Research and Strategy
Legal/Accounting Referrals
Networking Opportunities/Peer Support
Space/Incubation Program Access
SBIR/STTR Navigation
What is the approximate current annual revenue of your company/venture?
Pre-revenue
Less than $10,000
$10,000 - $50,000
$50,000 - $100,000
Over $100,000
Over $500,000
Please provide any additional comments or specific questions for the Hub team.
How would you rank the importance of the following support areas for your current needs?
Funding/Investment Strategy Priority
Lowest
Low
Moderate
High
Highest
Market Validation/Customer Acquisition Priority
Lowest
Low
Moderate
High
Highest
Team Building/Talent Acquisition Priority
Lowest
Low
Moderate
High
Highest
Technology Development/Prototyping Priority
Lowest
Low
Moderate
High
Highest
How did you hear about the Cascades West Innovation Hub?
Referred by Partner Organization (RAIN, CEDO, Latino Founders, EDLAC, ONAMI, OEN, OTRADI, OSU, UO)
Online Search/Website
Social Media
Networking Event
Existing Hub Member/Client
Other
If referred - please name the organization that referred you and contact name
Submit
