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Hawaii Small Business Innovation Research (HSBIR) Grant Program Phase I Application
Administered by the Hawaii Technology Development Corporation (HTDC)

A. Company Information

All items with * are required.
A2. President/Authorized Official

Prefix

First Name

Last Name


Email address



Street Address
Street Address Line 2
City
Postal/Zip Code
Prefix
First Name
Last Name










D-U-N-S (Dun & Bradstreet) number will be required before grant awarded. If you do not have a D-U-N-S number we will contact you to assist in getting a number at no cost.


HTDC
B. SBIR/STTR Grant information





C. SBIR/STTR Grant Justification

D. Forecast company growth and economic impact for the next year (0 if none)  






E. Phase I Project Information: This section must be completed for Phase I application.



Please note: Max $75,000 for Phase I match



Including date and amount of award.

Link for TRL Definitions: https://www.nasa.gov/wp-content/uploads/2017/12/458490main_trl_definitions.pdf




Use of Hawaii SBIR/STTR Phase I Funds  
TOTAL EXPENSE USING Hawaii SBIR/STTR FUNDS 









Year Phase Amount Agency HSBIR Amount Current Commercialization Stage Status
F1.
F2.
F3.
F4.
F5.
G. Additional Information/Certification

Your company must be registered with Hawaii Compliance Express and supply a current Certificate of Vendor Compliance in order to submit your application. Visit the Hawaii Compliance Express for information and to apply. You must have a COMPLIANT certificate by the time your presentation is scheduled.  





Authorized Representative Page
The Hawaii Technology Development Corporation (HTDC) administers the Hawaii SBIR/STTR (HSBIR) Matching Grant Program. We look forward to awarding your application to help you move forward with your technology.

By submission of this application, you agree that all information provided is accurate and that you will be subject to all eligibility requirements of the grant. You also agree to participate in the HTDC Annual Economic Impact Survey and the INNOVATE Hawaii NIST MEP Survey for a period of 5 years.




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