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KITE Proof of Concept

Minority Owned Application

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Project Title*

Date of Application*

Amount Sought*

Sponsor*

This Application is Based on the Technology:

Title*

Lead Inventor*

Applicant/Investigator Data

Full Name*

Contact Information*

Full Name

Contact Information

Full Name

Contact Information

Full Name

Contact Information

Other Key Participants

Full Name*

Contact Information*

Full Name

Contact Information

Full Name

Contact Information

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.

Please Attach Your Project Summary Here*

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Project Description (5 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: 512 MB, Max. files: 5.

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: 512 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.

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: 512 MB.

Suggested Project Reviewers

Identify one to four potential external reviewers that would be available to answer questions or participate in the peer review session. These reviewers may or may not be involved in the peer review process and should not be directly involved with the project or have a conflict of interest.

Full Name*

Phone*

Email*

Full Name

Phone

Full Name

Phone

Full Name

Phone

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 Principle 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: 512 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 Department of Commerce;
A final report presented in writing to the Kansas Department of Commerce;
Notification of significant milestones achieved;
Publications – Publication of results from work sponsored by the POC is encouraged, with appropriate acknowledgement of the support received.