Research Team Application Form NOTES: 1. This application can be submitted by one research group or by more than one research group, as long as they are topically related. 2. What we are looking for in this application form to help us select the participants is: a. Completeness of the information provided. b. Technologies that are “broad” enough to support a range of product possibilities. c. Technologies that are “deep” enough to show unique features and competitiveness in a world basis. d. Cohesiveness of the proposal, showing that there are links between the technologies and the researchers. 3. The deadline for submission of the application form is the 14th January 2008. 4. Application forms should be sent by email to [email protected]. A1. Contacts of the research group(s) leader(s) that propose the team: 1. Name: email: 2. Name: email: 3. Name: email: School/Department: University: Address: A2. Contacts of the post-graduate/post-doc researchers that the group(s) leader(s) nominate to participate in the initiative: 1. Name: email: 2. Name: email: 3. Name: email: School/Department: University: Address: TECHNOLOGY PROPOSAL #1 B1. Contacts of the researcher(s) involved in the proposed science or technology: 1. Name: email: 2. Name: email: 3. Name: email: C1. Science or technology description: Describe the science or technology that you are working on that you wish to be considered for the COHiTEC course in terms that can be understood by scientists with a general background. D1. Unique features: Describe what is unique and different about the science or technology results that you have achieved. Describe this in relation to work by other groups in the same field. Emphasize the UNIQUE capabilities. E1. Potential applications: Discuss the ideas that you envision for the application of your science or technology. This should include possible products or processes that could be derived from your research results. Also indicate who are potential customers and/or users for these applications. F1. References: List any publications, patents, general references or web sites for your science or technology. Provide a similar list for other research groups in the same field. G1. Intellectual property ownership: Who owns the intellectual property (patents, trademarks, copyrights or trade secrets) on this technology? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: If there is no intellectual property protection on the technology, is there any intention to apply for it? If so, who will own the intellectual property? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: TECHNOLOGY PROPOSAL #2 B2. Contacts of the researcher(s) involved in the proposed science or technology: 1. Name: email: 2. Name: email: 3. Name: email: C2. Science or technology description: Describe the science or technology that you are working on that you wish to be considered for the COHiTEC course in terms that can be understood by scientists with a general background. D2. Unique features: Describe what is unique and different about the science or technology results that you have achieved. Describe this in relation to work by other groups in the same field. Emphasize the UNIQUE capabilities. E2. Potential applications: Discuss the ideas that you envision for the application of your science or technology. This should include possible products or processes that could be derived from your research results. Also indicate who are potential customers and/or users for these applications. F2. References: List any publications, patents, general references or web sites for your science or technology. Provide a similar list for other research groups in the same field. G2. Intellectual property ownership: Who owns the intellectual property (patents, trademarks, copyrights or trade secrets) on this technology? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: If there is no intellectual property protection on the technology, is there any intention to apply for it? If so, who will own the intellectual property? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: TECHNOLOGY PROPOSAL #3 B3. Contacts of the researcher(s) involved in the proposed science or technology: 1. Name: email: 2. Name: email: 3. Name: email: C3. Science or technology description: Describe the science or technology that you are working on that you wish to be considered for the COHiTEC course in terms that can be understood by scientists with a general background. D3. Unique features: Describe what is unique and different about the science or technology results that you have achieved. Describe this in relation to work by other groups in the same field. Emphasize the UNIQUE capabilities. E3. Potential applications: Discuss the ideas that you envision for the application of your science or technology. This should include possible products or processes that could be derived from your research results. Also indicate who are potential customers and/or users for these applications. F3. References: List any publications, patents, general references or web sites for your science or technology. Provide a similar list for other research groups in the same field. G3. Intellectual property ownership: Who owns the intellectual property (patents, trademarks, copyrights or trade secrets) on this technology? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: If there is no intellectual property protection on the technology, is there any intention to apply for it? If so, who will own the intellectual property? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: TECHNOLOGY PROPOSAL #4 B4. Contacts of the researcher(s) involved in the proposed science or technology: 1. Name: email: 2. Name: email: 3. Name: email: C4. Science or technology description: Describe the science or technology that you are working on that you wish to be considered for the COHiTEC course in terms that can be understood by scientists with a general background. D4. Unique features: Describe what is unique and different about the science or technology results that you have achieved. Describe this in relation to work by other groups in the same field. Emphasize the UNIQUE capabilities. E4. Potential applications: Discuss the ideas that you envision for the application of your science or technology. This should include possible products or processes that could be derived from your research results. Also indicate who are potential customers and/or users for these applications. F4. References: List any publications, patents, general references or web sites for your science or technology. Provide a similar list for other research groups in the same field. G4. Intellectual property ownership: Who owns the intellectual property (patents, trademarks, copyrights or trade secrets) on this technology? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: If there is no intellectual property protection on the technology, is there any intention to apply for it? If so, who will own the intellectual property? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: TECHNOLOGY PROPOSAL #5 B5. Contacts of the researcher(s) involved in the proposed science or technology: 1. Name: email: 2. Name: email: 3. Name: email: C5. Science or technology description: Describe the science or technology that you are working on that you wish to be considered for the COHiTEC course in terms that can be understood by scientists with a general background. D5. Unique features: Describe what is unique and different about the science or technology results that you have achieved. Describe this in relation to work by other groups in the same field. Emphasize the UNIQUE capabilities. E5. Potential applications: Discuss the ideas that you envision for the application of your science or technology. This should include possible products or processes that could be derived from your research results. Also indicate who are potential customers and/or users for these applications. F5. References: List any publications, patents, general references or web sites for your science or technology. Provide a similar list for other research groups in the same field. G5. Intellectual property ownership: Who owns the intellectual property (patents, trademarks, copyrights or trade secrets) on this technology? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name: If there is no intellectual property protection on the technology, is there any intention to apply for it? If so, who will own the intellectual property? University ……..……………… Research group leader …….. Researcher ………………...… Name: Company …………………...… Name: Other ………………………..… Name:
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