様式第 3 号別紙
HTC Pre-Client Company Application
_____________________, (“Applicant”) hereby submit this application for Pre-Client, the special status
for companies from Chiba City. Submission of this Application to the HTC indicates acceptance of the
following terms by the Applicant.
HTC representatives will screen applications and select those that meet the criteria for further review.
HTC will schedule an initial meeting (including HTC staff/volunteers, as appropriate) to review and/or refer
the Applicant to other organizations that may be able to provide assistance.
If accepted as an HTC Pre-Client the Applicant shall pay, within two weeks of notice of acceptance by
HTC, $750. Pre-Client can receive up to 6 months of support following the initial meeting to prepare the
Applicant to become an HTC Client. As an HTC Pre-Client, Applicant may be asked to meet with HTC
staff/volunteers, make improvements in key areas, submit additional information, and/or present to the
HTC Screening Committee, a group of selected advisors to HTC.
If over the course of the six month (maximum) period, the Applicant satisfies all of the applicant processes
(including approval by an HTC Development Manager, presentation to the Screening Committee, no
objections from the HTC Board), Applicant may be invited to become an HTC Client, subject to the
attached Client and Warrant Agreements. The Applicant has to start establishing a formal presence in
Houston. HTC can approve the Applicant to stay in HTC as a Pre-Client for reasonable period while they
prepare.
Applicant agrees as follows:
Acceptance of your Application does not guarantee admittance as an HTC Pre-Client. Applicant’s
eligibility to become an HTC Pre-Client shall be determined by HTC in its sole discretion. Further, HTC
has no obligation to admit Applicant as a Pre-Client.
HTC reserves the right to request additional information during the application process. HTC cannot
execute non-disclosure/confidentiality agreements. HTC may request additional fees to provide
assistance during the application process. HTC reserves the right to discontinue the application process
at any time.
HTC shall have no liability with respect to the application process. Applicant agrees to indemnify HTC
and its representatives against any potential claims that might arise from the application process or the
assistance provided by the HTC and/or its representatives.
Agreed to and accepted by:
Company:
Name:
Title:
Date:
Please submit by email completed application and materials to: keizai.EAE@city.chiba.lg.jp
General Information: Houston Technology Center, 410 Pierce Street, Houston, TX 77002,
Phone: 713-658-1750, Fax: 713-658-1744, www.houstontech.org
HTC Pre-Client Application Agree 7.14.10; Page 1 of 6
HTC Pre-Client Company Application
* Please complete all information, even if submitting a business plan.
Date:
Name of Company:
Address, City, Zip:
Phone:
Fax:
Website Address:
Primary Contact and Title:
Phone / Email:
Alternate Contact and Title:
Phone / Email:
Industry:
Life Sciences
Information Technology
Energy
NASA
Nanotechnology
Other:
Business Description:
Number of Employees:(full and part time)
Outstanding Ownership:
_________________ Shares
Name of Legal Counsel:
Name of CPA/Accounting Firm:
Name of Insurer: (General Liability)
Please name the major shareholders in the
company:
How did you hear about HTC?
Please list specific areas
where your Company needs
assistance:
HTC Pre-Client Application Agree 7.14.10; Page 2 of 6
Units
Partners
HTC Pre-Client Company Application
Please review and respond to the questions below. By answering these questions, you will help us to
evaluate the strengths and weaknesses of your plan/business model. In many cases, you may be able to
cut/paste directly from your business plan. However, in other cases, you may not have an answer. If you
do not have an answer, please state in the blank provided, “no answer”.
BUSINESS PROBLEM AND OPPORTUNITY
Give a brief description (50 words) or “boilerplate” of your company’s products or services here.
What is your company’s Value Proposition? In other words, what pain currently exists in the market that
your product/service will help to alleviate or remove?
MANAGEMENT TEAM; SKILLS; EXPERIENCE
Who are the key principals in the Company? What relevant skills/experience does your company’s
Management have that will enable your team to successfully execute your plan?
Are there key management positions that still need to be filled? If so, please list them below.
TECHNOLOGY AND COMPETITIVE ADVANTAGE
What is unique about the product or service that you deliver? What can you tell us about why it is superior
to solutions currently in the market today?
HTC Pre-Client Application Agree 7.14.10; Page 3 of 6
HTC Pre-Client Company Application
What is your company’s sustainable Competitive Advantage? In other words, does your company have
some sort of unfair advantage over current and potential competition? For example, do you have
patents, exclusive contracts, or a complex technological solution that will prohibit others from
infringing on your market? What is the status of any patent filings?
MARKET ANALYSIS AND COMPETITION
What is your target market (the first market you plan to address)? What is the Market Size for your
product/service (in dollars) in that market?
How did you determine both who your target market is and what its corresponding dollar value is? Did
you use a research study or a proxy? Is your market growing?
Please list both your current and potential Competition. Please remember that the status quo is also
considered competition as “doing things differently” requires people to change.
MARKET STRATEGY AND CUSTOMERS
Please list both your current and potential Customers.
How do you plan to go to market with your product or service?
Have you identified the customer acquisition costs associated with your marketing plan? If so, what are
they? How do these costs compare to your competitors?
Does your company have any Strategic Partnerships in place? If you have executed agreements with
strategic partners, please list those partnerships below.
HTC Pre-Client Application Agree 7.14.10; Page 4 of 6
HTC Pre-Client Company Application
REVENUE AND BUSINESS MODEL
What is your company’s proposed Revenue Model? In other words, what distinct revenue streams have
you identified for your product?
What type of pricing model do you propose? Are there comparable technologies or companies using a
similar pricing model to help support your pricing assumptions? If not, what steps did you use to
determine what a consumer would be willing to pay for your product/service?
FINANCIAL PROJECTIONS
What are your Revenue projections?
Year 1
Year 2
Year 3
Year 4
Year 5
Revenue
Operating Income
Gross Margins
What defendable assumptions accompany your revenue projections? Do you incorporate the effects of
competition, technology improvements or substitute technologies into your assumptions?
GROWTH AND RISK ASSESSMENT
What is your company’s Growth Strategy? Are there potential markets where you can expand your
growth? Can you develop new applications for your product that represent new vertical markets?
HTC Pre-Client Application Agree 7.14.10; Page 5 of 6
HTC Pre-Client Company Application
If your company is successful, and the demand for your product/service is high, what factors are most
likely to prevent you from scaling your model quickly?
What potential risks do you see in launching or executing on your Business Plan?
HTC Pre-Client Application Agree 7.14.10; Page 6 of 6