SPRINT Application Form

APPLICATION FORM / REFERENCE: insert reference number / 2

SPRINT 2020 Open Competition

PROJECT APPLICATION FORM

This must be the first page of your application. Do not hide it behind a cover page.

Summary Table

Application Reference

insert reference number

(1)

Company name

insert company name

Company number

insert company number

Company VAT Number

insert VAT number if registered

Company address

address of main site involved in the project

(2)

Other participants

any additional participants

(3)

Partner University

insert name of Partner university

Project title

enter project title here

Lead Contact

company representative responsible for project

Contact email

email address for lead contact

Contact telephone

phone number for lead contact

Project total cost

enter total value in pounds

(4)

Project duration

planned project duration in months

(5)

Expected start

Click or tap to enter a date.

Expected end date

Click or tap to enter a date.

Eligibility

To comply with state aid regulations, your business must satisfy certain criteria to receive support from the SPRINT programme.

Business Size

Please answer the following questions to determine whether you are an SME. Full details and self-assessment tool can be found here: https://bit.ly/whatisanSME.

· Is the applicant Company a small to medium-sized enterprise (SME) as per EU recommendation 2003/361? Choose a response

De Minimis Declaration

If appropriate, please complete the following table summarising de minimis state aid received during the last 3 years (continuously rolling period). The maximum total admission under de minimis regulations is €200,000.

Date of aid support

Value (in EURO)

Support organisation and scheme

Activity

choose date0Click to editClick to editchoose date0Click to editClick to editchoose date0Click to editClick to edit

TOTAL

0

Edit the white fields only, do not edit the blue fields. After completing the table above, update the totals by select all then press F9 or Fn F9.

Declarationinsert company nameinsert name of Partner university

I declare that the information provided above is accurate to the best of my knowledge and accept that insert company name may be liable to repay (with interest) under EU law any state aid received through this project should the information above be found later to be incorrect.

In submitting this application I confirm that insert company name agree to the terms and conditions of the SPRINT Project Collaboration Agreement and IP clause as written in Section 4.4 of this application form.

In submitting this application I confirm that insert name of Partner university agree to the terms and conditions of the SPRINT Project Collaboration Agreement and IP clause as written in Section 4.4 of this application form.

Signature:

Signature:

Name:

Name:

Position:

Position:

Date:

Date:

About the ApplicantsAbout the Business

Describe your business and activities relevant to this project. Summarise the business history and vision, current size and financial situation where available. Please include information on previous grants received, the value and funder.

University resources

Describe the skills, expertise and facilities provide by the partner University that are included in this project. Include the involved academic/technical staff (if known); details of facilities, etc.

Tick box if CVs provided: ☐

About the ProjectSpace-enabled innovation (in 100 words)

Please highlight the ‘space’ link to the project. This can be related to the development of space technology, the exploitation of space data (i.e. Earth Observation, Global Navigation Satellite Systems (GNSS) or space-based telecommunications) or the use of academic space know-how/facilities.

Public summary of project

Provide a description of the project that can be used publicly (max 300 words).

Project description

Please describe your project idea here. Include information about the starting point, the primary objectives, and your approach to achieving those objectives. Clearly identify the main innovation, and whether it is based upon a prior feasibility study or other relevant previous work. Use up to 1 page.

In addition, you may wish to attach an optional 1-page annex with diagrams, pictures, schemes, illustrations, or other relevant material to support your application.

Tick box if annex provided: ☐

Outputs

Please describe the direct outputs of the project, what form they will take, and how they support the overall objectives. Please include descriptions of project deliverables.

Intellectual Property Agreement

Please indicate the wording of the intellectual property position agreed by the applicants to be inserted into the Project Collaboration Agreement if the project is awarded. Example clauses are provided below.

11.1All Background IP used in connection with the Project shall remain the property of the Party introducing it.

11.2All rights to Arising IP under the Project shall belong in the first instance to the Company.

11.3Pursuant to Clause 11.2, the Company grants to the University a non-exclusive, royalty free licence to use the Arising IP to the extent necessary solely for the purposes of the Project.

11.4Pursuant to Clause 11.2, the Company grants to the University a non-exclusive, royalty free licence to use the Arising IP for research and teaching purposes.

11.5The University and the Company grant to each other a royalty free right to use each other’s Background IP, subject to any third party rights, to the extent required for the purpose of the Project (during the Project Period only).

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11.6 The University is willing to grant the Company a non-exclusive licence on fair and reasonable terms to be agreed to any University Background IP to the extent it is required to commercially exploit the Arising IP.

OR

11.1 All Background IP used in connection with the Project shall remain the property of the Party introducing it. 11.2 All rights to Arising IP under the Project shall belong in the first instance to the University. 11.3 The University may, at its sole discretion and cost, apply for patent or other IP protection in the University’s name for any Arising IP. The Company will cooperate with the University in executing such documents as may be reasonably required in the prosecution of such application(s) and to ensure that such application(s) will cover, to the best of the Company's knowledge, all items of commercial interest and importance. 11.4 Pursuant to Clause 11.2, the University grants to the Company a non-exclusive, royalty free licence to use the Arising IP to the extent necessary solely for the purposes of the Project. 11.5 The Parties grant to each other a royalty free right to use each other’s Background IP, subject to any third party rights, to the extent required for the purpose of the Project (during the Contract Period only).11.6 In the event that the Company wishes to exploit the Arising IP and in consideration of the Costs, the University hereby grants the Company an option to obtain a non-exclusive licence without the right to sub-license, to use and/or commercialise certain of the Arising IP in the Company’s Technology Field. Such licence shall be negotiated between the Parties within three (3) months of the Company exercising its option and shall be on fair and reasonable terms, taking into account the commercial opportunity and the Parties' respective contributions to the Project. 11.7 The Company may exercise its option at any time during the term of this Agreement and for a period of three (3) months following the expiry or termination of this Agreement. 11.8 In the event of the Company exercising its option, the University is also willing to grant to the Company a non-exclusive licence on fair and reasonable terms and subject to any third party rights, to such of the University’s Background IP which the Company may require for the purpose of exploiting the Arising IP. 11.9 For the avoidance of doubt, in the event that the Company does not exercise its option, then the University shall be at liberty to offer the Arising IP to any other person or organisation for the purposes of exploitation.11.10 If the University offers the Arising IP to any other person or organisation in accordance with Clause 11.9, the Company is also willing to grant to the University a non-exclusive licence on fair and reasonable terms to such of the Company's Background IP which the University may require for the purpose of exploiting the Arising IP.

Outcomes

Describe any additional outcomes that will arise after the project is completed. Consider the potential impacts on your company, staff, product(s), service(s) or strategy, as well as external impacts.

MARKET AND BUSINESS STRATEGYMarket assessment

SPRINT intends to support projects that have a clear route to commercial exploitation of the project results. Please explain your target market and your approach to exploitation in this market. Include any relevant important market trends and developments. Please assess your realistic addressable market.

Business strategy

Describe your business strategy, the need for this project, and how the proposed project supports the strategy. What is the effect on your business strategy (in terms of cost, time to market etc..) without the SPRINT support.

Follow-on actions after SPRINT

Describe any necessary follow-on actions between the completion of your proposed project and market entry. Explain how this project changes your market opportunities, and whether additional funding or some other resource is expected to be required.

RISKS

Please prepare a preliminary risk register and attach it as an annex to this application. In this form, highlight the principal risks, their likelihood and impact, and your strategy for mitigating their consequences.

Tick box if annex provided: ☐

PROJECT BUDGET

Project Costs

These should be provided in the accompanying “SPRINT 2020 Open Competition - Application Finance Spreadsheet”

Tick box to confirm SPRINT Application Finance Spreadsheet complete and attached: ☐

Description

Describe the full costs of the proposed project. How will the new and existing resource contributions be provided and evidenced? The description here should fully correspond to and explain the attached spreadsheet.

Company New Resources Contribution

Company Existing Resources Contribution

University Contributions

Other 3rd Party Contributions

PROJECT PLAN

Please describe the project structure in terms of work packages, activities, schedule, dependencies, and milestones.Please also prepare a detailed illustration of the project design (for example, project logic, flow, PERT or Gantt) and annex it to this application.

Tick box if annex provided: ☐