Idea Submission

Idea Intake Form

Submission Contact Information

Name
Name
First Name
Last Name

Affiliation/Membership Status

Please select your affiliation or membership status:

List of Co-Investigators/Collaborators:

University Partners
Industry Partners

Detailed Collaborator Information

Name
Name
First Name
Last Name

Research Thrust Areas

Please select one of the following thrust areas relevant to your research idea

Executive Summary (Max 300 words)

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