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

    Town/City

    Zipcode

    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.