Utah NanofabPreliminary Data Seed Fund Application

PI DETAILS

Applicant Name / (name here)
Department / (department here)
Submission Date / (Date here)
E-mail / (email here)
Phone / (Phone number here)
DesignatedStudentUser / Student Name / (Name Here)
UU ID / (Student UID here)
Status (graduate; undergraduate) / Graduate / undergraduate
Training Completed (Y/ N) / (Y/N)
If Yes,when / (Date training completed here)
Expected Time in the Lab / (estimated time to complete the preliminary data)
Microfab Access Requested Period / (dates, from when to when)
Funding Agency / (List target funding agency for your proposal)
Target Solicitation (RFP name and reference number) / (List the reference name & # of the RFP)
RFP Submission Deadline / (turning in the proposal by this date triggers reimbursement of proposed fees)
Budgeted User Fees in Proposal ($1000/st-mo) / (list the amount you are budgeting from the funding agency per year to support nanofab user fees)
Collaborators (if any) / (names here)
Proposal Title / (title here)

SHORT SUMMARY OF THE PROPOSED WORK

Type of preliminary data needed to support this proposal:
(Include how the Utah nanofab facilities will be used to help create this supporting data. Indicate masks if needed, or specialty materials such as wafers, precious metals, etc.)
Justification for need of preliminary data:

ESTIMATED BUDGET

Item: / Amount / Price
Budget for Supplies and Materials:
(Item List) Please note that this funding mechanism is primarily intended to facilitate use of the lab, not to acquire supplies and materials. This part of the budget should not exceed 10-20% of the total budget / Item 1
Item 2
Item 3
Item n / 10 pc.
10 pc.
10 pc.
3 pc.
Total for all Items
Budget for Lab Entry Rates and Other Associated Fees such as SEM or characterization fees: / Monthly Lab Entry Rate
Mask Making Charge
Professional Tech Support
SEM Equipment Use / 3 months
10 layers
10 hours
10 hours
Total for all Items
Total Budget:

Signature of PI indicates that he/she will pay user fees on a normal monthly billing basis, but that the seed account will reimburse the user up to three months of all approved fees, upon demonstration of submission of the indicated proposals:

Chartfield Number: PI:

Recommendation: Associate Director

Approval of Nanofab Director: Date:

Supply list and rates found at:

Fee tables and forms located at:

Please note:

The Preliminary Data Support Seeding is intended to provide up to three months of cleanroom and/or surface lab instrument access through user fees (or training plus two months) to stimulate more effective research grant proposals. The pot of funds is limited (re-allocation of a TCP award), so we want to stretch the resource among as many PI’s as possible.