RESEARCH VOUCHERAPPLICATION FORM

SECTION ONE: ORGANISATION DETAILS AND DECLARATION
Organisation Name:
Type of Organisation eg company / trust / inc. society: / Organisation registration number (if applicable):
Business Address:
(full postal address)
Principal Business of Applicant:
Website:
Contact Details: / Title / First name / Surname / Job Title
E-mail: / Tel. Number:
DECLARATION BY APPLICANT / Insert Yes or No as appropriate
I would like to have a conversation with the Metro Group about using the voucher scheme to solve the problem outlined on the next page
I understand none of the Metro Group members are under any obligation to provide me with research services to solve this problem until such time as we have agreed the scope of the work including the voucher value and the balance of the price payable by my organisation
The Metro Group voucher can be used for eligible activities only as part of the research project
Myorganisation is receiving other public funds for this activity
I understand that the Metro Group may use the research process and outcome in publicity and marketing material
Name of Authorised Officer: / Date:

SECTION TWO: KNOWLEDGE QUESTION DESCRIPTION

Knowledge Question
Please give a brief overview of the issue you would like solved. Use the headings below to structure the overview.
Organisation’s profile:
Issue to be solved:
Skills and expertise required:
What outputs do you expect from the project:
What is the main focus of the knowledge question?
Please enter one number, in the adjacent box from the list below (1 to 12)
  1. New product / process development

  1. New or improved production process

  1. New service development

  1. New service delivery and customer interface

  1. Preliminary research / Literature research

  1. New business model development

  1. Innovation or Technology audit

  1. Experimental Testing / Measuring

  1. Supply chain management and logistics

  1. Efficiency audit, process change

  1. Exploiting new web technologies for the region and / or industry

  1. Other (Please comment)

What is the main “added value” that a solution to the knowledge question will bring to your company?
Please enter one number, in the adjacent box, from the list below (1- 7)
  1. Improvement in product quality

  1. Reduction in company costs

  1. Enhanced ability to carry out innovative projects

  1. Stronger links with researchers

  1. Productivity gains

  1. Creation of an “innovation” culture in the business

  1. Other (please comment)