Incubator - Application Form

Application to DRIVE Life Science Incubator 2024

Please see all information about the incubator and call at https://karolinskainnovations.ki.se/en

1. GENERAL INFORMATION
1.1 . Company name*
To join the DRIVE Incubator, you need an established company by the start date. If not yet incorporated, provide your project name.
1.2. The company is a Swedish Aktiebolag (AB)*
1.3. Company registration year and month*
1.4. The company is a Life science start-up*
Includes sectors like Healthcare, Medtech, Diagnostics, Pharma, Biotech, and Digital Health (AI) within human health and medicine.
1.5. Company registration number
Swedish organisationsnummer (if registered)
1.6. The team is based in Stockholm or is able to travel for for events, workshops etc.*
1.7. Company/Business Idea Description*
1.8. University affiliation (if applicable)*
1.9. Website link (if available):
2. CONTACT INFORMATION
2.1. Contact person's name and title*
First name Surname Title
2.2. Contact persons's email*
Fill in email Confirm email
2.3 Contact person's phone number*
3. THE TEAM
3.1 Number of Core Team members*
Founders, owners, and active members.
3.2. Core Team Information*
Add more members by clicking the (+)-sign efter the "commitment box". Commitment is the planned average time in % spend on the company over a month if accepted to the incubator.
First name Surname Founder (yes/no) Role Ownership (%) Commitment if accepted (%) Link to LinkedIn if available
3.3. Core Team Background and Key Competencies*
In addition to LinkedIn page asked for above. If you will continue to the next step in the application process, you might be asked for more information on the team such as CVs.
3.4. Is there a shareholder´s agreement?*
3.5. Key Persons besides Core Team
Advisory boards, coaches, consultants, etc.
First name Surname Role Ownership (%) Commitment if accepted (%) Link to LinkedIn if available
4. NEED, PRODUCT & MARKET
4.1. User/Customer Need*
What is the problem you will solve? Who are your target customers (differentiate between payors and end users)? How have you validated your problem/need with real customers/users?
4.2. Product/Service*
What type of product/service do you intend to develop? How do you solve the customer/user need with your product/service? What is the status of your product development and validation? If a tool/device - do you have a prototype?
4.3. Market Potential*
What specific market segments do you target (short term vs. long term)? What is the market size? How have you quantified and verified your estimated market potential? How do you access the market? Describe potential barriers of market entry.
4.4. Barriers to market entry*
Based on your current knowledge - what potential obstacles could prevent you from reaching the market, such as implementing your solution in healthcare or selling a drug?
4.5. Competition*
Based on your current knowledge - who are your main competitors? What benefits will you give to your target customers and what is unique about you? How do you differentiate yourself and what are your advantages?
5. INTELLECTUAL PROPERTY & KNOWLEDGE ASSETS
5.1. Patents Covering the Technology?*
5.2. Patent/Patent Portfolio description
5.3. Other IPRs?*
Registered or applications.
5.4. Other Knowledge Assets?*
Such as software, databases, methods, manuals, registers, trade secrets or other know how.
5.5. Does the company have right/ownership for commercial exploitation (if applicable) of the invention?*
5.6. Do you have a IP-strategy? If yes, describe briefly.
6. EVIDENCE, TECHONOLOGICAL DEVELOPMENT & REGULATORY LANDSCAPE
6.1. What scientific evidence does your solution rely upon?*
6.2. Current Technological Development Stage*
Eg. research/clinical background,in vitro/in vivo data, proof-of concept, prototype, MVP etc.
6.3. Regulatory landscape (if applicable)
Provide a short overview based on your current knowledge.
7. BUSINESS MODEL & PROGRESS
7.1. Describe your intended business model, revenue streams and estimated time to break even*
7.2. Describe your current achievements in terms of customers, users, sales, and growth (if applicable)*
7.3. How do you envision the long-term future of the company?*
Current thoughts on exit strategies, out license early, develop organization and grow business, sell project/company at a certain stage, etc.
7.4. Company sales*
8. FUNDING
8.1. Funding Strategy*
Shortly describe how you plan to finance your business the upcoming two years and beyond.
8.2. Current Funding*
Describe your current funding situation (bootstrapping, soft grants, loans, investments etc)
9. ACTIVITY PLAN
9.1. KEY ACTIVITIES for 6-12 Months*
Please specify key activities with estimated cost for every specified activity and estimated time of completion. Add 3-5 key activities by cklicking (+).
Key activity Estimated cost Deadline
9.2. Future Plans and KEY MILESTONES for 2-3 Years*
Focus on milestones related to scaling/the commercial development of the project/company. Please specify time frames and estimated costs related to these milestones. Add 3-5 key activities by clicking (+).
Key milestone Estimated cost Deadline
10. SUSTAINABILITY
10.1. Contribution to Sustainability and Societal Impact according to the UN Social Development Goals (SDG)*
See www.globalgoals.org. Also comment on how is it measured, main sustainability goals and risks incl. positive and negative impact.
11. RISK ANALYSIS
11.1. Three to five KEY RISKS related to the development of the project.*
The assessment below is described in terms of estimated probability for the risk to occur, the consequence for the project if the risk occurs and the plan to mitigate (handle) the risk. Add risks by clicking (+).
Risk Probability (1-3, where 1 = low, and 3 = high) Consequence (1-3, where 1 = negligible and 3 = large) Risk mitigation
12. READINESS LEVELS
Please indicate your company's Readiness Level. These levels serve as a framework for guiding idea development and assessing the status across key dimensions, used by e.g. VINNOVA. The scale ranges from 1 (lowest maturity) to 9 (highest maturity). This means that maturity level 3 cannot be reached without achieving levels 1 and 2 first etc. Select the highest maturity level you have reached according to your assessment. This helps us understand your company's current status and determine if you're at the right stage of maturity for the incubator.
12.1. Customer Readiness Level (CRL)*
Indicate highest level achieved (see instructions above).
12.2. Business Readiness Level (BRL)*
Indicate highest level achieved (see instructions above).
12.3. Team Readiness Level (TMRL)*
Indicate highest level achieved (see instructions above).
12.4. Sustainability Readiness Levels (SRL)*
Indicate highest level achieved (see instructions above).
13. NEEDS & MOTIVATION
13.1. What support are you looking for?*
Choose one or more.
- Team development
- Investments
- Soft funding
- Legal issues (e.g. contracts, option programs)
- Marketing and communications
- Office/co-working spaces
- Sales
- Market access
- Recruitment
- Networking
- Security/data protection
- Access to healthcare, clinical implementation etc
- IPR strategy
- Sustainability
- Regulatory affairs
- Other (please specify below)
13.2. Any other needs?
13.3. Do you have support from another incubator, science park or similar?*
13.4. Please describe how you see that our incubator distinguishes from them, and the value we might add*
13.5. Where did you get information about the call?
- Recommendation from DRIVE company or alumni
- LinkedIn
- KI Innovation webpage
- KI Innovation newsletter
- KI Innovation START Coach
- Other
13.6. Has the company received any governmental support?*
If you're unsure, choose the "I don't know" option. If selected for an interview, we will provide more details. Receiving prior support does not disqualify you from the incubator. This question is asked because the incubator is partially funded by the Swedish Innovation Agency VINNOVA. For competitive reasons, there are rules for how they may finance economic activities. For more information, visit https://www.vinnova.se/en/apply-for-funding/rules-for-our-funding/state-aid-to-companies/
13.7. Additional information?

Any short note on additional information or comments? For questions email annika.osterdahl.wahlberg@kiinnovations.se. We will not be able to respond them if posted here.
By submitting this form the applicant confirms the approval of handling of his/her personal data.
I confirm.
KI Innovation´s policy for data protection

KI Innovations handles personal data only for specific purposes e.g. to handle data relevant for the work we do with regards to innovations at KI and in accordance with the guidelines given by Karolinska Institutet.
Approval of handling of personal data

By contacting KI Innovations for support or by submitting an application, the applicant confirms the approval of handling of his/her personal data.

Why is my personal data collected and handled?

KI Innovations handles personal data only for specific purposes e.g. to be able to contact, inform and follow up on the collaborations between the researcher and the business coach, investor or consultant related to our work within innovations support at KI Innovations. We always act in accordance with the guidelines given by Karolinska Institutet. The personal data is collected and handled for the administration of contacts, communication and relevant statistics reports.

For how long a time will my personal data be kept?

Personal data is kept only for as long as it is needed to fulfill the purposes for which it was collected. When a collaboration has ended, personal data is cleared out on a regular basis. Some of the data must be kept for a longer period for accounting purposes.

Who will have access to my personal data after applying?

Only KI Innovations staff has access to the personal data. The personal data is registered in a system that is protected from infringement.

Your right as a collaborator with KI Innovations

You have the right to ask for a transcript of the data that KI Innovations has registered about you, once per year, for no charge. To ask for a transcript, send a request signed in handwriting, by regular mail to KI Innovations. Our postal address is as follows: Berzelius väg 3 A, 171 65 Stockholm.

GDPR at KI

Here you can find information on this data protection regulation as well as information about the implementation of the regulation at KI: https://staff.ki.se/gdpr-at-ki
Name
This field is for validation purposes and should be left unchanged.

Save and continue at a later stage

First name	Surname	Founder (yes/no)	Role	Ownership (%)	Commitment if accepted (%)	Link to LinkedIn if available

Risk	Probability (1-3, where 1 = low, and 3 = high)	Consequence (1-3, where 1 = negligible and 3 = large)	Risk mitigation

Key activity	Estimated cost	Deadline

Key milestone	Estimated cost	Deadline

Application to DRIVE Life Science Incubator 2024

1. GENERAL INFORMATION

2. CONTACT INFORMATION

3. THE TEAM

4. NEED, PRODUCT & MARKET

5. INTELLECTUAL PROPERTY & KNOWLEDGE ASSETS

6. EVIDENCE, TECHONOLOGICAL DEVELOPMENT & REGULATORY LANDSCAPE

7. BUSINESS MODEL & PROGRESS

8. FUNDING

9. ACTIVITY PLAN

10. SUSTAINABILITY

11. RISK ANALYSIS

12. READINESS LEVELS

13. NEEDS & MOTIVATION