“I’vegotan idea!Iknow thekind ofthingthatpeople need, tosolve a particularproblem,to enjoy lifemore or save timeand money. I’msure people will pay for itifIcan justwork outhow toget it to market.”

Do you need Help toInnovate for Success?

Access a free, confidential advisory service for Queensland Innovators / Inventors, Entrepreneurs and Small Businesses, funded by Queensland Government. Request your appointment with an experienced Innovation Advisor by completing and returning this Request for Consultation.

Queensland Innovators can now access a FREE one-hour Consultation in person, online or via telephone. Apply Now!

Application Instructions REQUIRED

To enable our team to provide you with the best possible assistance please answer the questions on the following pages as well as possible at this stage of development and forward us a copy. Any information that you include will be treated as commercial-in-confidence in assisting your Research and Development, and will not be shared outside of the service providers. The scheduled Consultation is also confidential.

Your Preferences for a Consultation:

* Please select oneof the following preferences:

☐ Telephone – Landline ☐Telephone – Mobile☐Skype Video

Please provide your best Contact Number: ______

☐In Person – (At our Head Office: 16 Cinderella Drive, Springwood, QLD, 4127)

* Please number your preferred timeslot in order of your preference: (e.g. 1,2,3 etc.)

Timeslot / Monday / Tuesday / Wednesday / Thursday / Friday
10am – 11am
12noon – 1pm
2pm – 3pm
4pm– 5pm

Whenthe following questions are completed save your document and email a copy as an attachment:

* Submitthis completed form to theQueensland Innovator/Inventor Consultation Service via email to:


Title:First Name:Family Name:

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Address:

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Town/SuburbStatePostcode

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Organisation / Company Name: (if applicable)

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Position Title:(if applicable)

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Website Address:(If applicable)

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Landline Phone:(include area code)Mobile Phone:

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Skype Address: (If applicable)

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Email Address:

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Your InnovationREQUIRED

1.Brieflydescribe your Idea or Invention.

☐ Yes, I can provide drawings / images/ diagrams of my idea.

2. What Stage are you currently up to?

☐Feasibility Assessment / Research Stage

☐Pre-Startup / DevelopmentStage

☐Start-up / Launch Stage

☐Growth / Scale-up Stage

3. What Issues, Concerns, Resistance or Blockages do you have?

☐ Business Model

☐ Product Development

☐ Service Development

☐ Process Issues

☐ Technology

☐ Team

☐ Finances

☐ Market Access

Please explain your key issue in further detail:

Please explain your key issue in further detail: (Continued)

4.Can you prove thatyour idea works? Forexample,have you builta working prototype?

1.Describe your TargetMarket(thesortsofcustomerswho would buy your innovation). How would your productor service help them?

Forexample,would it making doing a particulartaskquicker and easier (like online shopping),or more convenient(like online banking)?

Submit

1.Whatproductsor services do you thinkyou are replacing / opportunity you foresee?

2.Whatis your unique competitiveadvantage?

3.Whatmakes your productor service much bettervalue tothecustomerthanwhatthey are already using or doing?

4. What competitors / resistance will you have?

1.WhatAustralianor internationalregulationsor laws are applicable toyour idea? Forexample,regulationson productsafetyor industrystandards.

2. Whatotherconstraintsare applicable toyour idea? Forexample,regulationsize, weight,packaging,or power source?

1.Whatis your Business Model? How will your idea generaterevenue?

2. Whatwould thesupply chain forthisproductor service look like? Wheredo YOU fit in?

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3. Have you developed relationshipswiththepeople or companies thatyou need towork withtotakeyour idea toyour customers?

1. Have you protectedyour idea throughobtaininga trademark,design right,patent, domain name foryour website,or otherformalprocess?

2.Have you identifiedwhatwould stopa competitorfromproducing somethingsimilar to your idea?Forexample,you may have specialised equipment,a strongbrand reputation,or access toparticularsuppliers.

3. Have you checked thatyou are notaccidentallycopying anotherperson’s idea or invention?Iftheiridea is legally protected(e.g.by a patent),you mightbe atrisk of infringingtheirintellectualproperty.

1. How are you going tofindyour customers?

2. How will theyfindoutaboutyour productor service?

3. Whatare some ofthefeaturesor benefitsofyour productor service? How would you describe thesetopotentialcustomers?

1. How much sales revenue will you need foryour idea tobe profitableaftercosts?

2. How much capitaldo you require frominvestorsand how will you use it?

3. How much returnon investmentwill your investorsmake? What’sin itforthem?

When completed this form as best you can,save your document and email a copy as an attachment:

Submitthis completed form to theQueensland Innovator/Inventor Consultation Service

For Further Assistance:

Phone: 1300 364 739or Email:

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