Company Cooperation Form

Name of Your Company

Contact information for this academia-industry cooperation project

Name

Tel

Department

Position

Email

Your company’s needs for academia-industry cooperation

Technological field that your company is interested in

Information or Communication Electronic or Photoelectric Advanced manufacturing systems (including semi-conductors /civic engineering/all types of measurement) Material, Chemical or Nanotechnology Biotechnology or medicine Energy and environment Other

Your company’s needs for academia-industry cooperation

Cooperation with professor

Does your company have a desirable cooperative department, center, or professor? Does your company focus on the specialties of a specific professor, and would you like the Center to assist you further in meeting your specific needs? No Yes

Which academia-industry model below most interests/benefits your company?

Way of collaboration (pick all that apply)

Transfer and licensing of existing technology Development of academia-industry cooperative research Participation in government projects Consulting expert (advisor) services Technological services Application for participation at incubation/startup center Application for innovation/startup consultation Others

Other information

Other information attached

Company Plan

Location

Want Cooperation?