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How did you hear about our program?

Is your company formally incorporated/formed?

Is the organization currently under an obligation to assign the patent to any other entity?

Are you one of the inventors to be listed on the patent?

To the best of your knowledge, does Inventor 1 have a total household income of less than 300% of the poverty rate? (If you are unsure, please check the section on Basic Qualifications)

To the best of your knowledge, has Inventor 1 been listed as an inventor on any other patent/pending application?

To the best of your knowledge, does Inventor 2 have a total household income of less than 300% of the poverty rate? (If you are unsure, please check the section on Basic Qualifications)

To the best of your knowledge, does Inventor 2 have a total household income of less than 300% of the poverty rate? (If you are unsure, please check the section on Basic Qualifications)

To the best of your knowledge, does Inventor 3 have a total household income of less than 300% of the poverty rate? (If you are unsure, please check the section on Basic Qualifications)

To the best of your knowledge, has Inventor 3 been listed as an inventor on any other patent/pending application?

To the best of your knowledge, does Inventor 4 have a total household income of less than 300% of the poverty rate? (If you are unsure, please check the section on Basic Qualifications)

To the best of your knowledge, has Inventor 4 been listed as an inventor on any other patent/pending application?

Have you completed a prior art search?

Have you published any material about this invention?

Have you shown your invention to anyone?

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