Research &
Innovation
Services.
Innovation, Impact and Knowledge Exchange (IIKE)
Application for Proof of Concept Award
Project name:
Amount requested from the Fund:
1. Applicant Details
Primary Investigator:
Department:
Extension:
Email:
Departmental Administrator
2. COD Details
COD number:
Date COD submitted:
Commercialisation Manager:
3. Project Details
Do not cross-refer to web addresses or add annexes.
Proposed project start date:
Project end date:
Can this project be classed as research?
Yes/No
Is this the application of existing knowledge/the creation of new knowledge? For a
definition of research please refer to www.shef.ac.uk/ris/application/frascati
In one sentence please state clearly the concept that is to be proved during the project
Non-Confidential Summary
Please provide a short non-confidential summary of the project – this may be placed on the R&IS
website if the application is successful.
IIKE Proof of Concept Application Form- August 2014
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General summary of project proposal (maximum 250 words)
Describe briefly what problem will be solved, the likely need and demand for the technology, making
reference to the technology innovation and any competitive technologies.
Project Plan (maximum 300 words)
Present a plan for the proposed project. Include the technical and/or commercial objectives (SMART),
and the key deliverables. Include an assessment of the timelines, and how the project will be managed
Outcomes & impact (max 300 words)
What will be the key outcomes from the project? Could the project deliver significant economic,
environmental and/or societal benefits for UK citizens or reach a large number of beneficiaries, or both?
Is there a potential for a significant/step change in ability to take this to market? Is there potential for
high returns? Are there appropriate/realistic plans in place to achieve this?
Follow on Plan (maximum 300 words)
How will the technology be taken further? If this project is successful, what is your understanding of the
market and the next stages of development?
Status of the intellectual property (IP) underlying the project (maximum 100 words)
Can the IP invested in the concept be protected? What is the present IP position? How has the IP been
(or will be) protected?
Details of other support for the project
Please include details of other funding or support for the project and the status of these projects. Please
give details of any additional funding leveraged.
Justification of costs
Please provide an outline of the requested funds and describe why these are required to deliver the
project and the timescales in which they will be required
Other information (maximum 100 words)
Is there any other information you would like to provide?
IIKE Proof of Concept Application Form- August 2014
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4. Financial Details

The fund will cover directly incurred costs only. Projects must be costed via URMS using IIKE POC
as the collaborator and UoS as the Sponsor, and then the directly incurred costs entered on the
table below. When completing the URMS record please include C Hill (KE Officer) at 0% in the
investigator tab.

Project consumables, equipment and travel/subsistence will be reimbursed at 100%.

Proof of Concept funding will not include support for directly allocated costs, estates, overheads or IP
protection costs.
URMS
project
code
(For
Information Only)
Use
Details
Amount
Staff costs
Travel & subsistence
Consumables
Equipment
Other costs
Total amount requested
5. Signatures
I confirm that I wish to apply for funding from the IIKE Proof of Concept Fund. I confirm that
the information presented in the application is accurate to the best of my knowledge.
Signature
of
Principal
Investigator:
Date:
I confirm that I support this application.
Signature
of
Head
of
Department:
Please print name
Date:
IIKE Proof of Concept Application Form- August 2014
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I support this application and confirm that it meets the scheme eligibility criteria.
Signature of
Commercialisation/Business
Manager:
Date:
6. Return
One
signed
electronic
copy
and
one
Microsoft Word version of the application
[email protected]
form (without signatures for administration
purposes) to:
Or, a hard copy to:
Chris Hill, New Spring House, 231 Glossop
Road, S10 2GW
Applications will not be considered unless signed by the Head of Department.
For RIS Office use only
UBASE Project Fund
X/00
Authorised Budget
£
IIKE Proof of Concept Application Form- August 2014
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