Turning Innovation Into Enterprise

Job Application: Seed Grant Application

Title: Seed Grant Application

Fields marked with an asterisk (*) must be filled out before submitting.

Applicant Name *
Position * Faculty
Staff
Student
Title *
Higher Education Institution
Address
Phone
Fax
Email
Project Title
Amount of Grant Request (Maximum of $5,000):
 
What industry does the project relate to? Advanced Materials
Biotechnology/Life Sciences
Energy
Identification Technology
Medical Devices/Healthcare
Nanotechnology
Other

Private sector partner information

Business name
Address
Contact Name/Position
Contact Email
Contact Email
What needs to be done in order to commercialize the product?
How will the next step be completed?
 

If this application is approved, who is the contact person responsible for grant disbursement at your institution?

Contact Name
Department
Phone
Email
 
Does the project involve any other faculty, staff or students at your institution? Yes
No
If Yes, List names and positions
Does the project involve a partner institution of higher education? Yes
No
If Yes, List Name, Position and Institution Name
Describe both cash (required) and in-kind (optional) matching funds?
Describe both cash (required) and in-kind (optional) matching funds?
How did you hear about this program?

Other Required Information

For detailed descriptions, refer to Application Instructions in the guidelines.

Abstract
Narrative
Curriculum Vitae
Budget
IP Arrangements
Letter of Support for Match (if from other than the company)
Letter of Support/Match from Company