Form

Welcome to Pima Community College's Southern Arizona Technology & Entrepreneurship Center (SATEC) Prototype Application.

First Name*

Last Name*

Full Business Name (if any)

Email*

Phone Number*

City of Business*

State of Business*

Section 2: Project Overview

Project Title*

Brief Description of Your Prototype*

Target Industry or Market for Your Prototype*

(e.g. healthcare, education, manufacturing, IT)

Problem Your Prototype Solves*

Stage of Development*

Concept/Idea Stage

Initial Design Completed

Functional Prototype in Progress

Other

Section 3: Technical Specifications

Materials or Technologies Required

Describe any specific materials, software, or equipment you expect to be used.

Expected Dimensions or Scale

Provide approximate size, weight, or other specifications.

Do you have a design file?*

Yes

No

Upload supporting documents for your prototype, if any.

(2D sketches, designs)

Section 4: Prototyping Goals

Timeline for Prototype Completion*

Provide the latest date by which you need your prototype completed.

Month/Day/Year

Budget for the Prototype*

Provide an estimated budget or range if known.

Section 5: Additional Information

Have you applied for SATEC membership?*

Yes

No

If you have not applied for SATEC membership, would you like to learn more about membership?*

Yes

No

Do you have any additional comments or questions about having a product prototype made?