Innovation Request Submission Form

We recommend using this Microsoft Word document as a tool to assist in saving and completing your submission.

Immediately after submitting this form, you will be able to upload one (1) Supplemental File (PDF format, max size 10MB) of your choosing with expanded details about your innovation and its suitability for this request. This is a one-time opportunity to provide the evaluators with specific, customized insight into the value of your innovation as it applies the Request for Innovation. Technology or research presentations, pitch decks, and/or collaboration proposals are all highlight encouraged. Please do not simply upload the completed Microsoft Word template.

Contact Information

Contact information should reflect the only principal Solver for this Entry. All communications related to the Entry will be sent exclusively to the individual indicated below. It is your responsibility to ensure that all information is accurate before completing this Entry form.

First name

Last name

Job title

Phone

Mobile

E-mail

Note: Please do not include any confidential or proprietary information in your entry details.

Organization Information

Company or Organization

Website URL

Must start with a http:// or a https://, for example: http://www.acme.com

Organization Type

Organization Size

Innovation Request

Title of Your Submission

Brief Description of Your Innovation

50 words max.

Technology Development Status

Innovation Request

Technology Readiness Number

TRL numbers are defined here: https://www.nasa.gov/pdf/458490main_TRL_Definitions.pdf

Technology Keywords

Enter up to 3 technology keywords separated by commas.

Market Keywords

Enter up to 3 market keywords separated by commas.

Non-confidential summary of your technology or innovation, including any details about what it addresses or how it meets the innovation requirements of this Request.

200 words max. What is transformational about this technology? How is it different from existing technologies?

Innovation Value Proposition, Commercial Impact and/or Applications related to this Request.

200 words max. What industries does this technology impact near-term? Long-term? What unique benefits can your technology and/or business offer to a commercial partner?

List any Vetted Programs/Awards your tech has been acknowledged with

50 words max. i.e. Prize, Challenge, Accelerator, Award Programs.

Funding Status and Sources (if applicable)

50 words max. VC, corporate, angel, grants, etc.

Intellectual Property Status

50 words max.

Description of the collaboration or partnership opportunity you are seeking with the sponsor of this Request

200 words max. Who are your existing clients? Who are the potential clients, buyers or end-users for this Request? What type of business partnership are you seeking with Innovation Seekers?

Your Organization and/or Innovation Team Profile

200 words max. Who are the key executives, technical resources, and gamechangers behind this technology?