AMC Assistance Application

Please fill out the form below to contact CCAT’s Advanced Manufacturing Center about potential assistance options for your business.

Contact Information

Company Name (required)

Contact First Name (required)

Contact Last Name (required)

Contact Title

Phone (required)

Email (required)

Confirm Email (required)

Company Information

Street Address



Company Website

Primary Business Sector

NAICS Code (Four digit code if known)

Please provide a brief description of what your company does

How many full-time employees at the location where the assistance will take place?

Are you in good-standing with the state in which the assistance will take place?

Identify the type of assistance you require:
Applied engineering and manufacturingAdditive manufacturing – metal or plasticPrecision machiningStructured light scanning/reverse engineeringTechnology workshopsBusiness assessmentsBusiness connectionsManufacturing equipmentManufacturing softwareConsulting services

Provide a brief description of the assistance you would like from CCAT

Upon review and acceptance, you will receive a non-disclosure agreement (NDA) that protects your intellectual property / process knowledge and an Export Control Intake Certification/ITAR form to complete and sign.


If you have any questions about the application form or need assistance please contact Wayne Sumple.