Question 2: If you answered "Other" in the question above please give the name of your research institution.

(1)

AI POC Application: GMS Test

Application Id:

APP-08850

Applicant:

GMS Test

Contact:

GMS Test

Phone:

Email:

Application Status:

Draft

Review Notes:

Not Answered

Name of Technology Transfer Office (If this is a joint application among two or more institutional partners

Question 3:

provide the primary or lead institution's TTO name here). Not Answered

If you answered "Other" in the question above please give the name of your research institution.

Question 2:

Other (including Federal Labs) Bonfils Blood Center

National Jewish Health University of Denver

University of Northern Colorado Colorado School of Mines Colorado State University

University of Colorado - Colorado Springs University of Colorado - Denver

University of Colorado - Anschutz University of Colorado - Boulder

Name of Research Institution Submitting an Advanced Industry (AI) Proof of Concept (POC) Application. (If

Question 1:

this is a joint application among two or more institutional partners provide the primary or lead institution here)

Applicant Information

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(2)

Not Answered

Email of primary contact for application.

Question 12:

Not Answered

Cell phone of primary contact for application.

Question 11:

Not Answered

Office phone of primary contact for application.

Question 10:

Not Answered

Name of primary contact for application.

Question 9:

Not Answered

If this is a joint application of more than one research institution (& it is for more than $150K) list each

Question 8:

applicant institution & the dollar amount of the grant that will go to each applicant institution. Two institutions must receive at least 25%.

Yes No

If this is a joint application of more than one research institution (and you are applying for more than $150,000

Question 7:

in grant funds), will the applicants have joint ownership of any intellectual property that results from this project? Not Answered

If this is a joint application of two or more institutional partners, list additional institution(s) & their TTO

Question 6:

name(s). When two or more institutions apply jointly the $150,000 award cap can be removed if either of the two questions below is satisfied.

Private, nonprofit medical and research center Private technology and research center Federal laboratory

Nonprofit teaching hospital

Public or private nonprofit institution of higher education

Type of Research Institution (If this is a joint application among two or more institutional partners select the

Question 5:

primary or lead institution's type in this question.)

Yes No

Is this grant application part of your institution's minimum annual allocation? Only the following institutions

Question 4:

are eligible to select "Yes" for this question: CU (all campuses), CSU, National Jewish Health, Colorado School of Mines and DU.

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(3)

No Attachments

Please upload a scanned PDF of" the Application Certification TTO" document available on the advanced

Question 14:

industries web site and attach it to this question. Not Answered

Address for primary contact for application.

Question 13:

If two or more AIs were selected (& one was advanced manufacturing, electronics or IT) & you intend to

Question 20:

apply for more than $150K in POC grants, explain how the project directly impacts scalability, process improvements or market adoption in the other AI.

Not Answered

If two or more AIs were selected & you intend to apply for more than $150K in POC grants please explain

Question 19:

with examples how the project's technology directly impacts each AI and explain how this grant will specifically advance commercialization in each AI?

No Yes

If you selected Energy, Natural Resources (including Clean Technology), does this project specifically address

Question 18:

Clean Technology?

Infrastructure Engineering Information Technology

Energy and Natural Resources (Including Clean Technology) Electronics

Bio-science Aerospace

Advanced Manufacturing

Which advanced industries (AIs) are impacted by this proof of concept (POC) project? You can select more

Question 17:

than one AI. If you select two or more AIs, the $150,000 POC award cap can be removed if the project's technology impacts across two or more AIs.

Not Answered

Describe the project using five words that are most relevant to its objective.

Question 16:

Not Answered

Project Title.

Question 15:

Project Summary & Grant Amount

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(4)

Which Phases/ Milestones will be completed with this grant? The max grant amount is based on the selection

Question 29:

in this question. You can only apply for either a Phase I or II grant at one time & you must finish P. I milestones before applying for P. II grant

Not Answered

Please explain key deliverables and work items that you previously completed which have allowed you to

Question 28:

achieve the Commercialization Phases & Milestones you selected above. If this grant is a transition request view the "? help" icon for instructions.

Phase II: Start-Up (company formation, legal costs, investor strategy, marketing, website) Phase II: Market Assessment (feasibility analysis, commercialization, business plan) Phase I: Prototypes and technical validation (create & test working prototype) Phase I: Intellectual Property Protection (pay for IP filings)

Phase I: Proof of Principle (evaluate technology's commercial potential)

Please select EACH of the Milestones the project has already finished as of this grant application. ALL Phase

Question 27:

I Milestones must be complete before receiving a Phase II grant. If you have not completed all Phase I Milestones, apply for a Phase I grant.

No Attachments

If this is a Transition Application, upload the final report from the Phase I project.

Question 26:

Not Answered

If this is a Transition Application, explain the status of any related IP generated during the previous Phase of

Question 25:

POC research including licenses and licensees. Not Answered

If this is a Transition Application, provide a summary of findings from the previous Phase or Milestone, a

Question 24:

description of how the Milestones were achieved, and summarize the final report from the earlier grant. Not Answered

If this is a Transition Application what was the amount of your previous BDGEP or AI POC grant? You can

Question 23:

not receive more than $150,000 in POC funds for working on a single technology. Not Answered

List other Advanced Industry/ BDEGP grants received for this technology by grant number (xxBGF-xx).,

Question 22:

project name and grant amount. Note if you answered "yes" to the question above, you were previously awarded an AI grant and you must list it here.

No Yes

Did you already receive a previous POC grant from the Bioscience Discovery Grant Evaluation Program

Question 21:

(BDGEP) or AI program AND is this this application a Transition Request to move to a later Phase/Milestone in the POC process? Not Answered

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(5)

Please confirm your understanding of the requirements listed below as answers to this question by selecting

Question 35:

them. If you do not select ALL items, your grant application will be rejected. If you do not follow these terms, your grant will be canceled.

No Attachments

If the match sources are government or other third-party grants or corporate sponsors or investors, upload the

Question 34:

grant award notices or funding commitment letters in PDF file formats. These must be uploaded if your institution will rely on these sources.

Not Answered

What are the specific sources of matching funds for the AI grant? The full final match, including all third party

Question 33:

sources, must be in hand at your institution when the grant agreement is executed or the grant will be canceled. Not Answered

How much in confirmed dedicated matching funds are in hand today at your research institution or

Question 32:

documented in commitment letters? Match must equal 1/3 or more of the AI grant amount awarded. Match can not be spent until grant is awarded.

No

Yes & I understand my institution must have all matching funds when grant agreement is executed

Do you currently have the full required dedicated matching funds (1/3 of the grant amount) in hand at your

Question 31:

institution or documented in a third party grant award, corporate sponsorship letter or other funding commitment? Match must be cash (not in kind).

Not Answered

How much grant money are you applying for? You can only request up to the "Grant Max" from the answer

Question 30:

selected above unless two or more institutions apply jointly or project impacts two or more AIs & you qualify for lifting the $150K cap.

Phase II: Commercialization Preparation, Milestones: Market Assessment & Start Up (Grant Max $25K) Phase II: Commercialization Preparation, Milestone: Start Up (Grant Max $5K)

Phase II: Commercialization Preparation, Milestone: Market Assessment (Grant Max $20K)

Phase I: Proof of Principle & IP Protection & Prototypes/Tech. Valid. (Max $150K, $10K IP, $20K POP) Phase I: Proof of Principle & Prototypes/Tech. Valid. (Max $150K, up to $20K on Proof of Principle) Phase I: IP Protection & Prototypes/Technical Validation (Grant Max $150K, up to $10K on IP valid.) Phase I: Milestone: Prototypes and Technical Validation Only (Grant Max $150K)

Phase I: Pre-Commercial Res., Milestones: Proof of Principle & IP Protection (Max $30K, $20K & $10K) Phase I: Pre-Commercial Research, Milestone: Intellectual Property Protection Only (Grant Max $10K) Phase I: Pre-Commercial Research, Milestone: Proof of Principle Only (Grant Max $20K)

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(6)

A grant agreement must be executed within 30 days of a grant award letter. Grant funds can not be spent or obligated prior to execution of a grant agreement. This grant can not be used to support basic research.

This grant can only be used to accelerate product or service commercialization.

Not Answered

If you answered "Yes" to the question about sponsorship by a Colorado company, name the sponsor, explain

Question 40:

how the sponsorship will work including resources provided (money, personnel, space, IP, and other resources), and ownership of resulting IP.

No Yes

Is your project being sponsored by an Advanced Industry company with operations in Colorado?

Question 39:

No Yes

Does the project originate from a nonprofit research institution?

Question 38:

No Yes

Does the project involve more than one research institution?

Question 37:

No Yes

Does this technology impact across more than one advanced industry?

Question 36:

Stakeholder Collaboration

Not Answered

What business, commercial or technical problem does this technology solve?

Question 42:

Not Answered

Provide a description of the Technology being used in this application.

Question 41:

Technological Merit

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(7)

Not Answered

Identify the biggest technical challenge that you expect to encounter and how you anticipate solving it?

Question 47:

Not Answered

Describe the intellectual property already secured for the Technology & strategies for strengthening the

Question 46:

Technology’s IP portfolio. Include a brief summary of the IP landscape (e.g. the results of a patent search and include specific patent numbers).

Not Answered

Explain the research plan and methodology. Describe how the proposed work builds upon previous research

Question 45:

that has been conducted by the applicant research institution and other institutions worldwide. Not Answered

Describe the status of the Technology’s development including studies completed and the conclusions derived.

Question 44:

Any preliminary data or other results suggesting that the Technology is likely to work as predicted should be included. Not Answered

How does the technology provide a unique or improved approach for solving the business problem mentioned

Question 43:

above compared to other methods used commercially or discussed in the scientific literature?

Identify the number of jobs that will be created in Colorado that will result from this grant. Answer this

Question 53:

question in FTEs (defined in ? help section) that will be created over the next three years. Not Answered

Apart from direct financial sponsorship of this project are there any other affiliations between this project and

Question 52:

companies with operations in Colorado or outside Colorado? If yes identify the company, location and describe the nature of the affiliation.

Not Answered

Which existing sectors, supply chains, businesses, or ecosystems in Colorado could benefit from this

Question 51:

technology? Does the technology have the potential to be manufactured/produced in Colorado or is it likely to end up being commercialized out of state?

Not Answered

Evaluate the strengths, weaknesses, opportunities and threats of this technology in meeting a market need.

Question 50:

Address the competitive advantages of this technology and resulting products or services over competing technologies and products and services.

Not Answered

Include a brief summary of the size of the market opportunity for the described products or services. Include

Question 49:

an initial market segmentation analysis and suggest initial market segments that could be targeted. Not Answered

Describe the product or service that will ultimately be developed as a result of this project and assess its

Question 48:

market potential.

Market & Economic Potential

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(8)

Not Answered

Provide an analysis demonstrating that the project will provide significant economic impact or competitive

Question 58:

advantage for the state and AIs & that it will accelerate the pace of applied research leading to rapid commercialization of products and services.

Not Answered

Identify any other projected economic impacts that will result from this grant.

Question 57:

Not Answered

Identify the anticipated capital retention in Colorado that will result from this grant.

Question 56:

Not Answered

Identify the anticipated capital investment in Colorado that will result from this grant.

Question 55:

Not Answered

Identify the number of jobs that will be retained in Colorado that will result from this grant. Answer this

Question 54:

question in FTEs (defined in ? help section) that will be retained over the next three years. Not Answered

Describe the major risks of failure & plans to manage that risk (i.e. what will be done if the proposed approach

Question 63:

3 months (max term for Phase II grants)

No more than 36 Months (Max term for bio-science Phase I grants) No more than 24 Months (Max term for all non-bio-science Phase I grants)

Project Term: Select the number of months needed to complete the proposed project work after the contract

Question 62:

has been signed. Round up to nearest option. Do not select a term which is longer than is permitted based on phase and industry sector.

No Attachments

Please upload a timeline document that shows when you will complete deliverables, Commercialization

Question 61:

Milestones & Phases as included in the Project Summary Phase/Milestone question & in the questions above. Use Timeline Template in resources section.

Not Answered

Summarize Milestones & deliverable that will be achieved as part of this grant , how long it will take & the

Question 60:

estimated cost. Explain the Milestone/deliverables' significance in advancing the technology's commercialization. See "? help" for tips.

Not Answered

Describe the commercialization spectrum (from infancy to sales) explaining where the technology is today,

Question 59:

and how far along the spectrum it will progress by completing the work you plan to undertake with the state grant and matching funds.

Commercialization Path & Risk

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

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(9)

No Yes

Do you plan to create a start up company at the end of this grant?

Question 66:

Not Answered

If you have an active or planned SBIR/STTR grant, what are the aims of that project, the amount of actual or

Question 65:

anticipated funding, and the agency providing the grant? Not Answered

Specify anticipated capital needs, sources, and long-term milestones beyond the scope of the project proposed

Question 64:

in this grant application. Not Answered

is not successful)? How & when will "go" "no go" decisions be made on continuing the research & commercialization or changing approaches?

Briefly summarize the investigation team's technology expertise including relevant publications and previous

Question 73:

work that had led to technology commercialization and company formation. Not Answered

Provide the name of Principle Investigator or Researcher and other key researchers and list each of their

Question 72:

institutional affiliations. Not Answered

Please justify with a written explanation why you need the funds for the largest categories of expenses shown

Question 71:

in your uploaded budget. Explain why the funds are necessary for achieving your overall project goals. No Attachments

Upload a detailed project budget that supports the work plan and justify all of the line items in the budget.

Question 70:

This must use the template provided in the Resources section of this web site and should include AI grants and matching funds and costs.

Not Answered

Has the subject technology of this application received other grant funding (beyond any SBIR/STTR grants

Question 69:

described above)? If so, please provide source, amount, and scope of work funded. Not Answered

Describe why State funding is required, and what steps have been taken to secure other funding.

Question 68:

Not Answered

Describe the specific objectives of the project (in 70 words or less). If approved, this language will become the

Question 67:

general description in a Statement of Work.

Personnel, Budget & Plan

SAMPLE

APPLICATION:

Actual

Applications

Must

be

Submitted

Online

at

www.advancecolorado.com/aiprograms

(10)

No Attachments

Please attach any additional files and documents needed to assess this application. The total number of these

Question 78:

pages can not exceed five (5) or this material will not be considered. Not Answered

Please provide any additional information needed to assess this application.

Question 77:

Not Answered

If you answered "Yes" to the question above, please provide a response to the reviewers' comments on your

Question 76:

earlier application including how those comments were addressed in this re- submission.

Yes No

Is this application a re-submission of an earlier application that was declined?