2016 Otago Innovation Proof of Concept Grant
Application Form
CLOSING DATE: MONDAY 9TH MAY 2016
APPLICANT DETAILS:
First Investigator:
Telephone:
Department:
E-mail:
Second Investigator:
Telephone:
Department:
E-mail:
Third Investigator:
Telephone:
Department:
E-mail:
1. PROJECT TITLE
2. TECHNOLOGY DESCRIPTION
Please provide a description of your technology.
(250 words max)
3. RESEARCH TO DATE
Please briefly describe the research you have undertaken to validate the technology.
(250 words max)
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4. PROJECT FUNDING HISTORY
Please list all historical funding for this project.
Funder/Company Name
Funding dates
Financial Contribution
5. EXTERNAL RESEARCH COLLABORATORS
Please list any external collaborators that you are working with on this project or have
worked with historically.
Institution/Organisation
Name of Collaborator
Related Agreements
(CDA, MTA, collaboration
agreement etc)
6. STUDENT INVOLVEMENT
Please list any students who are collaborating on this project. Has the student(s)
signed a University of Otago Student IP agreement?
Student Name
Level
(PhD, Bachelors)
Subject
IP agreement
signed?
Y/N
7. PROOF OF CONCEPT REQUIRED
Please provide a brief description of the work required to further your research and how,
if successful, you would use the Otago Innovation Proof of Concept Grant.
Please include project timelines and key milestones together with funding requirements
for each stage.
(500 words max)
8. HOW IS YOUR TECHNOLOGY UNIQUE?
Please describe why your technology is different to other technologies under
development or available for commercial sale? Have you or anyone else working in this
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area published or presented material relating to your technology? If so, then please list
publications including posters and conference abstracts.
(250 words max).
9. WHAT COMPETITIVE ADVANTAGE DOES YOUR TECHNOLOGY CONFER?
Please describe how your technology is better than existing products or services in the
same technology area. For example, is it cheaper to manufacture, faster, more accurate
or meet an unmet need?
(250 words max)
10. COMMERCIAL MARKET
Who would buy the finished product? What someone might be willing to pay for your
technology or service? How big is the market?
(250 words max)
11. WHO SELLS COMPETING PRODUCTS/SERVICES?
Please list any companies you know who sell similar or competing products or services,
or any researchers working with a similar technology.
(250 words max)
12. If you are short-listed then are there any times on 30th and 31st May when you are
NOT available to present to the judging panel?
If you need any assistance in completing the form please contact Francesca Rollason
([email protected]) or come along to our Commercialisation
Workshop on 2nd May, 9am-1pm at Arana College.
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Please e-mail completed applications to:
[email protected].
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