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I-Corps Site at Georgia Tech Application
Project Name
Description of the Project
Customer Interview Plan
The Sites program requires participating teams to talk with 20-30 potential customers. Who might you talk with, and what are you hoping to learn from these customer conversations?
Budget
Provide a line-item budget for your trip, with each line showing an expense category (airfare, hotel, ground transportation, etc.) and an estimated amount. Do not forget per diem. Budget cannot exceed $3000.00. Note: If approved, your grant will be funded for the amount provided.
Cost Share Number
Please provide your GT department Cost Center number (Typically a 6-7 digit number: For example, CC012345.) Contact your accounting department for access to your Cost Center number: the Cost Center number must be provided prior to the release of any funding.
VentureLab Contact
Research Origin
Have you and/or your advisor filed an invention disclosure on this technology with GTRC?
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Yes
No
Not sure
TEAM LEAD
Name
Title
Title
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Miss
Ms
Mr
Mrs
Dr
Other…
Enter other…
First
Middle
Last
Suffix
Degree
Email Address
Email Address
Confirm Address
Role at Georgia Tech
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Faculty
Staff
Graduate Student
Undergraduate Student
Postdoc/Researcher
Other
PRINCIPAL INVESTIGATOR
Name
Title
Title
- None -
Miss
Ms
Mr
Mrs
Dr
Other…
Enter other…
First
Middle
Last
Suffix
Degree
Email Address
Email Address
Confirm Address
Role at Georgia Tech
- Select -
Faculty
Staff
Graduate Student
Undergraduate Student
Postdoc/Researcher
Other
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