University of Ulster Science Research Parks (UUSRP) Limited

APPLICATION FORM

The mission of UUSRP is to develop and manage the Science Parks to create environments that are supportive of the incubation, development and clustering of high technology, high growth companies in close proximity to University students, research personnel, resources and facilities.

Please indicate which UUSRP facility the application is being made for:

Technology & Engineering Innovation Centre, UUJ

Technology & Software Innovation Centre, UUM

Software Development Centre (MK Pavillion), UUM

Science Innovation Centre, UUC

For a company seeeking entry into one of our centres, they must fall under one of the following areas of business. Please tick the box which best defines your company:

	New start companies arising from the research base (spin-outs) or from within the local economy
	Regional companies with a growing need to access development resources (spin-ins)
	Overseas companies wishing to relocate part of their business activites
	Other
If Other please state:

Applications will be prioritised based on some or all of the following entry criteria being met:

Advanced engineering, medical devices or software companies
Predominant focus on R&D, and not undertaking full scale production or manufacturing
Have potential for high growth
Demonstrate a requirement for a close and specific interaction with the University of Ulster

Company Details:

Company Name:
Registered Office:

Key Contact:

Name:
Position:
Telephone:
Fax:
E-Mail:
Website:
Address:

Business Description:

Company Requirements:

Office Space Required - e.g. square footage, number of staff etc.

Any other information:

Any other relevant information which would be useful in assessing your application