2018 Otago Innovation $60,000 Proof of Concept Grant

2018 Otago Innovation $60,000 Proof of Concept Grant

Application Form

CLOSING DATE: 5pm MONDAY 14 MAY 2018

Please check this box to confirm you have read the ‘Terms and Conditions’, at the back of application form before submitting.

APPLICANT DETAILS:

First Investigator: / Telephone:
Department: / E-mail:
Second Investigator: / Telephone:
Department: / E-mail:
Third Investigator: / Telephone:
Department: / E-mail:

1. PROJECT TITLE

1. TECHNOLOGY DESCRIPTION

Please provide a description of your technology.

(250 words max)

1. RESEARCH TO DATE

Briefly describe the research you have undertaken to validate the technology.
(250 words max)

1. PROJECT FUNDING HISTORY

Please list all historical funding for this project.

Funder/Company Name / Funding dates / Financial Contribution

1. EXTERNAL RESEARCH COLLABORATORS

Please list any external collaborators that you are working with on this project or have worked with historically.

Name of Collaborator / Institution/Organisation / Related Agreements
(CDA, MTA, collaboration agreementetc)

1. 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

1. PROOF OF CONCEPT REQUIRED

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)

1. HOW IS YOUR TECHNOLOGY UNIQUE?

Describe why your technology is different to other technologiesunder development or available for commercial sale? Have you or anyone else working in this area published or presented material relating to your technology? If so, then please list publications including posters and conference abstracts.

(250 words max).

1. WHAT COMPETITIVE ADVANTAGE DOES YOUR TECHNOLOGY CONFER?

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)

1. COMMERCIAL MARKET

Who would buy the finished product? What might someone be willing to pay for your technology or service? How big is the market?

(250 words max)

1. 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)

Judging days are Wednesday30 and Thursday 31 May, please keep these days available should you be short-listed.

If you need any assistance in completing the form please contact Jodie Ludwig()

Please e-mail completed applications to:

Otago Innovation Ltd Proof of Concept Grant 2018

Terms and conditions

Tobe eligibleforthe grant applications mustbe submittedonthe application form which is available on our website or from your Research Advisor.Inadditiontothe submission oftheapplication form,thefinalistswill makean oralpresentationtoa judgingpanel.

Am I eligible?

Tobe eligibleto enterthe grant, at least one competitormustbe employed atthe University of Otago as an academic staff member. Alternatively a competitor may be enrolled at the University of Otago as a student and apply with the support of their academic supervisor.

An application will notbeeligible towin the grant if theapplicationrelatesto atechnologythathasalreadyreceived investmentfrom Otago Innovation.

How many applications can I submit?

There is norestriction onthenumberofapplicationsa competitormaysubmit, provided thateachapplication ismateriallydifferent fromanyother application made bythatcompetitor.

If I win, how is the grant money made available to me?

Thecash elementofthegrantwill be paid tothewinning participant(s)asaseriesofpaymentsmade againstmutually agreedmilestones. The process that follows is:

• The grant winner(s) prepare a development plan for their project which includesproject timelinesand key milestones thatsetsouthow themoney isintendedtobe spent;
• The development plan and budget is discussed and approved by Otago Innovation;
• A final report is submitted to Otago Innovation outlining the research achievedwith thegrant.

Is my grant application confidential?

Otago Innovation treats all applications as confidential and will not share these with other competitors or third parties without prior agreement by the applicant. Judges will also be bound by confidentiality, as will invited potential investors.

The grant winner and Otago Innovation will agreeupon thewordingofanon-confidential summaryofthe application thatmaybeused in a pressrelease to announce the winner.

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