FAST California Application

FAST California Application

Thank you for your interest in applying for FAST California, CLS’s advisory program for early-stage life sciences startups. Please fill out the application form below, in its entirety, for consideration. Should you require additional assistance, please contact Shikha Sharma, ssharma@califesciences.org.

About Your Company

Company Name

Website URL

Street Address

City

State

ZIP/ Postal Code

CEO First Name

CEO Last Name

CEO Email

Title

Founding/Incorporation Date

FAST Cohort

FAST Year

Tell us more about your company. Please check all that apply:

This company is led by a woman founder or C-level executive.

Full Name

Title

Company founder, and/or senior level executive, represents Black, Latinx, Native American, or Pacific Islander population.

Full Name

Title

This company is an academic spinout.

University Name

About Your Technology

General technology areas (enter all that apply)

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Therapeutics sub-option (enter all that apply)

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Diagnostics sub-option (enter all that apply)

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Medical Device sub-option (enter all that apply)

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Digital Health sub-option (enter all that apply)

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Enabling Technologies sub-option (enter all that apply)

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AI/Machine Learning in Life Sciences sub-option (enter all that apply)

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Indication area

(e.g., Oncology, Autoimmune, Neuroscience etc.)

Development stage of lead asset

What differentiates you from your competitors?

(Technological advantage/ unmet need) in less than 500 words)

Proof of Concept? (POC)

(in vitro/in vivo/ toxicology etc.) in less than 500 words

Do you have a wet lab or anticipate setting up a wet lab within 12 months?

FAST Eligibility

Number of Employees

Dilutive Funding Amount Raised ($)

Is your startup based in California (operations/team primarily in CA, regardless of where incorporated)?

YesNoNote: Incorporation in Delaware or another state does not disqualify you.

What business and growth objectives do you wish to address through the FAST program?
(Enter all that apply; business strategy, development strategy, partnerships, non-dilutive grants, scientific expertise, collaborations, licensing, legal, IP, regulatory, clinical trial design, pitching technique, fundraising, reimbursement, etc.)

Contact Information

First Name

Last Name

Title

Email

Phone

FAST Contact

TRUE

Supporting Materials

Upload your executive summary and bios of your executive team.

(PDF files only. For files larger than 30MB, please share a Google drive link below)

Upload your non-confidential PowerPoint deck

(For files larger than 30MB, please share a Google drive link below)

Google Drive links to share documents or files >30MB

Acknowledgements

I understand that I am discouraged from submitting and/or discussing information considered proprietary during this application process and during participation in the FAST California program.

I understand that California Life Sciences, and its employees, agents, consultants, contractors, interns, volunteers shall not sign confidentiality agreements relating to the FAST program.

By submitting this application you consent to allow California Life Sciences to store and process the personal information in accordance with our privacy policy. You may opt out at any time.

Contact Information