Application

Technology Transfer Office*

Tech Transfer Office (TTO) Case #

Project Title*

Date of Application*

Amount*

This Application is Based on the Technology:

Project Title*

Lead Inventor*

Applicant/Investigator Data

Notification of Blind Review*

An applicant that requests Proof of Concept funding for a project that is a non-university State of Kansas employee, elected official, or is in a partnership or collaboration with an elected official on this project must disclose said employment, election appointment, partnership, or collaboration within their Proof of Concept funding application. Those projects will be reviewed utilizing a “blind” process, where the names of the State of Kansas employee applicant or elected official will be redacted and will remain unknown throughout the review and selection process. Under a blind review, a project will be judged solely on the application and documents that were submitted, and the applicant will not be given an opportunity to pitch to the review committee in person. Despite this exception, the review committee may submit written questions regarding the project to the applicant and the applicant will be given the opportunity to respond in writing.

Full Name*

Email*

Phone*

Full Name

Email

Phone

Full Name

Email

Phone

Full Name

Email

Phone

Other Key Participants

Full Name

Email

Phone

Full Name

Email

Phone

Full Name

Email

Phone

Project Summary (1 page maximum)

Should be a high-level description of the research and not assume detailed knowledge in the field. Focus on market opportunity and novelty. Briefly describe the problem to be solved and shortcomings of existing solutions. Do not focus on the technical details of your proposed solution; one sentence to the effect of “We propose to deliver X with characteristics of Y” is adequate. This section should be readable by a technically inclined person only slightly familiar with your field. Do not disclose any proprietary or confidential information. Contents of this section may be summarized and appear on the TTO website.

Please Attach Your Project Summary Here*

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Project Description (3 pages maximum)

Describe the proposed project (strategy, key experiment(s), and goal(s)) with a statement of the problem to be solved and how the proposed solution addresses this problem. Include identification and significance of the technology, background and technical objectives of the research, and commercial potential. Emphasize the point of novelty and risks associated with the project. How do you foresee the next steps towards commercializing this technology if this phase proves to be successful?

What is the expected impact of the project on the commercial viability of the technology? What is the commercial significance of the project results? How would the proposed project advance the invention toward a marketable product? What would the next steps be in the technical or commercial development of the technology?

Please Attach Your Project Description Here*

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 50 MB, Max. files: 3.

Project Work Plan (2 pages maximum)

Describe the expected milestones and deliverables to be achieved within the proposed timeline of the POC funding (no longer than one year) and at the end of the project – prototypes, data that would show feasibility, etc.

Please Attach Your Project Work Plan Here*

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 50 MB, Max. files: 2.

Project Work Plan Dates and Milestones

Elaborate on 2-3 milestones that can be used to evaluate progress through the project and include timeline.

Project Pitch Deck*

Drop files here or

Max. file size: 50 MB.

Please provide the Pitch Deck the company will use if select to present before the committee.

Date*

Milestone*

Date*

Milestone*

Date

Milestone

Dollars Requested and Budget (1 page maximum)

Summarize the funds required to complete the project and provide a detailed budget indicating where dollars will be spent. POC funds must be used primarily for market validation, applied research, testing, prototype development, and other technology-focused activities consistent with the proof-of-concept purpose of the investment.

Please Attach Your Dollars Requested and Budget Here*

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Appendix (5 pages maximum)

Please include any previous and/or additional financial support (and whether or not such support is contingent on receiving the POC award), letters of support, and brief biological sketches of the Principal Investigator and other key personnel involved in the proposal. Additional material will not be considered.

Please Attach Your Appendix Here*

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 50 MB, Max. files: 5.

Communication

The Principal Investigator shall communicate the project’s progress through various means, including the following:

Progress meetings and status discussions with the Technology Transfer Office and/or the Department of Commerce;
A final report presented in writing to the Technology Transfer Office, and the Department of Commerce;
Notification of significant milestones achieved
Invention disclosures – To the Technology Transfer Office;
Publications – Publication of results from work sponsored by the POC is encouraged, with appropriate acknowledgement of the support received.

KITE Proof of Concept

Faculty Led Application

This Application is Based on the Technology:

Applicant/Investigator Data

Other Key Participants

Project Summary (1 page maximum)

Project Description (3 pages maximum)

Project Work Plan (2 pages maximum)

Project Work Plan Dates and Milestones

Dollars Requested and Budget (1 page maximum)

Appendix (5 pages maximum)

Communication