Applied Research, Development, and Commercialization Proposal Cover Sheet

Title of Project: Lead Applicant Institution:

Principal Investigator (name and degree): Institution: Full Academic Title: Department: Contact Email: Contact Phone Number: Address:

Co-Principal Investigator, if any (name and degree): Institution: Full Academic Title: Department: Contact Email: Contact Phone Number: Address:

Collaborating Institutions, Centers, or Departments: Collaborating private entities, if any:

Length of the requested grant period:

Amount of VRIF funds requested:

Amount of committed matching funds:

Co-Investigator #1 (name and degree): Institution: Full Academic Title: Department: Contact Email: Contact Phone Number: Address:

Co-Investigator #2 (name and degree): Institution: Full Academic Title: Department: Contact Email: Contact Phone Number: Address:

Etc.