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2022 Application

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2022 Application

"*" indicates required fields

Name*

First Last

Company Name*

Company Email*

Mailing Address*

Street Address City State ZIP Code

Number of employees:*

Age of company:*

What technology category do you fit?*

Are you eligible to participate in the SBIR / STTR Program?*

Yes

No

Please review the Guide to SBIR/STTR Program Eligibility: sbir.gov/sites/default/files/elig_size_compliance_guide.pdf

Which cohort dates can you absolutely NOT attend? Select all that apply.

Oct 31 Monday - Friday 12p-3p EST

Nov 14 Monday - Friday 12p-3p EST

Nov 28 Monday - Friday 12p-3p EST

Dec 12 Monday - Friday 12p-3p EST

Describe your technology in 100 words or less.*

Do you have existing customers? Explain.*

How big is the market?*

Describe the problem you're solving.*

Do you have a commercial application for your technology?*

Why is your team qualified to bring this innovation to market?*

Do you have a Defense or government application for your technology?*

Describe your traction and/or product development to date.*

Why do you want to participate in Project Enginuity?*

What are you hoping to accomplish as a participant of Project Enginuity?*

Have you raised venture or investment capital for this technology / company?*

Yes

No

If yes, please describe:*

Have you or your company received a SBIR in the past?*

Yes

No

If yes, please describe:*

Anything else we should know?*

All applicants will be considered for Project Enginuity without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Is your business minority-owned?*

Yes

No

Prefer not to say

Is your business veteran, military, and/or military spouse owned?*

Yes

No

Is your business woman-owned?*

Yes

No

If you marked yes to the above, please indicate if you hold any certifications:

LGBTBE (LGBT Business Enterprise) Certification

MBE (Minority-Owned Business Enterprise) Certification

MWBE (Minority/Women-Owned Business Enterprise) Certification

WOSB (Women-Owned Small Business) Certification

Any other certifications outside of the above list?

Which Federal Agency's SBIR Program is most applicable to what you're working on? Check all that apply.*

Department of Agriculture

Department of Commerce

National Institute of Standards and Technology (NIST)

National Oceanic and Atmospheric Administration

Department of Education

Department of Energy

Department of Health and Human Services

National Institute of Health (NIH)

Department of Homeland Security

Department of Transportation

Environmental Protection Agency

National Aeronautics and Space Administration (NASA)

National Science Foundation

Department of Defense

United States ARMY

United States NAVY

United States Air Force

Joint Program Executive Office for Chemical and Biological Defense

Defense Advanced Research Projects Agency (DARPA)

Defense Health Agency (DHA)

Defense Logistics Agency (DLA)

Defense Microelectronic Activity

Defense Threat Reduction Agency

Missile Defense Agency (MDA)

National Geospatial-Intelligence Agency

United States Special Operations Command

How did you hear about Project Enginuity?*

Facebook

JPMC/Chase

Program Partner

Referral

Webinar

Website

Other

Since you chose "Other", please input how you heard about Project Enginuity.

Participation in Project Enginuity does not guarantee that participants will be awarded a SBIR contract or grant. SBIR is a highly competitive program for Research and R&D. The SBIR program is independent from Project Enginuity with autonomous decision and funding mechanisms*

I have read and understand the above statement.

Δ

Partners

Supported By:

Project Enginuity

Project Enginuity uplifts Black, Hispanic, Latino and women entrepreneurs, assisting them on their journey to secure non-dilutive capital and fuel innovation.

For more information, contact Info@ProjectEnginuity.com or call us at 937-226-8222.

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