Sellafield Ltd. Game Changers Application Form
Project Title
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Funding Requested (up to £5,000)
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Company Name
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Company Number
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Nature of Company Business
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Applicant Name
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Position in Company
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Landline
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Mobile
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Email
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Company Address (incl. Postcode)
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District Authority where the Business is Based
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Please Select
Allerdale
Barrow-in-Furness
Carlisle
Copeland
Eden
South Lakes
Out of Cumbria
Size of Business
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Please Select
Micro (<10 employees, <€2M balance sheet, <€2M annual turnover)
Small (<50 employees, <€10M balance sheet, <€10M annual turnover)
Medium (<250 employees, <€43M balance sheet, <€50M turnover)
Large
Number of Employees
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1. Please provide a non-confidential paragraph description of your technology
2. Describe the invention/idea and its current development stage. What do you consider to be novel about this idea and how it is different to existing technologies? (200 word limit)
3. Outline the link between the Nuclear Industry need and your idea. What evidence do you have to support this? Have you discussed this technology with any one in the Nuclear Industry?
4. What Technology Readiness Level (TRL) is the technology currently at? (TRL level definitions can be found on the FAQ page of the Innovus website www.innovus.org.uk )
5. Please list the tasks for this project in the table below providing an indicative cost for each task.
6. Where possible, please provide an image (e.g. sketch, CAD drawing, photograph) of the technology.
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7. Upon completion of the project outlined in this application, please list the key tasks, likely timescales and costs required for future stage of development
8. Can you identify the current suppliers with whom this new product/service will be competing?
9. Intellectual property position:
Is there any existing IP that will be used in this project?
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Yes
No
If yes, please confirm who owns this IP and what your outline IP strategy is
10. Should you wish to submit any supplementary information such as reports, diagrams or letters of support from end users, please attach these.
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Further Company Information
Company Summary & Main Business Area:
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Turnover:
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Number of employees:
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Applicant Signature
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Date
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Month
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Day
Year
Date
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