GAME CHANGERS APPLICATION FORM
Please complete this form, SAVE a copy to your computer and
email a copy to Paul Knight, Project Lead, at [email protected]
Application Reference Number (provided by Innovus)
About you and your company
Project Title
Applicant Name
Position in Company
Company Name
Company Number
Company Address
Contact Email
Contact Telephone
Nature of Business
No. of Employees
Tell us about your idea
1. Please provide a non-confidential paragraph description of your technology (max 100 words)
2. Describe the invention / idea and its current development stage.
Description:
Current development stage:
Just an idea at the moment
Concept has been proven
Prototype has been made
3. Who are your competitors, including the baseline technology (if one exists) and how is your idea
different from any competing technologies?
4. Outline any link between your idea and the nuclear industry need. For example, does your idea link
with any of the published Challenge Statements on the Game Changer website?
(www.innovus.org.uk/nuclear/challenges)
5. Have you discussed your idea with anyone in Sellafield yet, and if so, who? Engagement with end users
in Sellafield is one of the benefits of applying to the Game Changers programme so don’t worry if you’ve
not been able to connect with industry yet!
6. To the best of your knowledge, do you believe you have the right to commercialise your technology?
Comment:
Yes, we own the IP
Not sure
We need to use/licence others existing IP
7. Should you wish to submit any supplementary information such as CVs, brochures, reports, diagrams,
letters of support from end users, website links, please detail these here.
Applicant Signature:
Date: