Innovation Adoption Program Application
Point of Contact
First Name
Last Name
Job Title
Email
Phone Number
Company Legal Name
Company Address
Company Website
State Company Registered In (Abbreviation)
Vendor
Please list the Vendor(s) you plan to work with on this project.
Describe the scope of the project in 3-5 sentences:
How much money (USD) do you have available to spend on this project?
When do you expect to complete this project?
What do you project the impact to be on your business over the next 3-5 years?
Anything else you'd like to add?
Please attach any and all supporting information, this will help us make a decision on the grant process
(graphs, quotes, correspondence with vendors, BOM, patents, SOW, pdfs, Gantt charts, etc.)
Please upload an image, rendering, or sketch of the part/product/component you're working on.
If you are in the concept stage please upload an image of a similar part/product to what you hope to make
and indicate "Conceptual Example" in the file name.
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On submission, you will be redirected to schedule a meeting to discuss your application!
Contact Information
