30 Day Notification of Intent to Submit an SBIR/STTR Grant Application with a Small Business Concern (SBC)

Future Students

Undergraduate Students

Graduate Students

Parents & Family

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Faculty & Staff

Researchers

Patients

Colleges & Schools

Please provide your full name, email, and phone number.

Name:*

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Email:*

Please provide a valid email address.

Phone:

Please provide a valid phone number using the "123-456-7890" format.

Please provide the following information regarding the SBIR/STTR grant application with SBC.

What kind of award is being applied for?*

SBIR

STTR

Please select either SBIR or STTR for the type of award.

Please provide the Project Title or Project Short Title.*

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A title must be provided.

Please provide the URL link for the funding opportunity announcement.*

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Please provide a web page address (URL) for the funding opportunity announcement.

Deadline Date:*

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UAB PI Name:*

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UAB PI's Primary Department:*

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Overall Grant PI Name:*

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Overall Grant PI Email:*

Please provide a valid email address.

Overall Grant PI Phone:

Please provide a valid phone number.

Name of SBC:*

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Proposed Federal Funding Agency:*

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Is this a Phase I or Phase II Small Business Grant Funding Opportunity?*

Phase I

Phase II

Please select a phase or Other.

Will the SBIR/STTR use UAB IP or know-how?*

Yes

Please select either Yes or No.

If Yes, please list the UAB Invention Numbers here.*

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Does this project involve human subjects research?*

Yes

Yes or No must be selected.

Is this project a clinical trial?*

Yes

Yes or No must be selected.

Does any UAB employee (or the spouse or dependent(s) of any UAB employee) have a financial interest in this SBC, including IP licensed via the home institution?*

Yes

I do not know

Please select "Yes" or "No" or "I do not know" as appropriate.

Comments:

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Submit the form.

Form Version: 2021.03.22.002

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30 Day Notification of Intent to Submit an SBIR/STTR Grant Application with a Small Business Concern (SBC)