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Industry Project Intake Form
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Company Information
Company Name
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Contact
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First
Last
Phone
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Email
*
Website / URL
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Revenue
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>0
>$150k
>$500K
$1M-$5M
$5M-$10M
>$10M
>$50M
Number of Employees
*
0-2
2-10
11-30
31-100
101-250
>250
Industry Project
Project Title
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Suggest a title (up to 150 characters in length)
Project Scope and Objective
*
Describe the problem you want to solve and initial suggestions on how to solve it. Provide as much detail as possible – do not include sensitive, confidential information.
Project Keywords
*
e.g. AI/machine learning, UI/UX, formulation, process optimization, compliance, prototyping
Technical Skill Requirements Keywords
*
e.g. mySQL, javascript, python, After Effects, Maya, HPLC, GC-MS, focus groups, 3D printing
Research Information
My company has worked with government grant agencies, associations or incubators
*
Yes
No
My company owns IP or patents
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Yes
No
My company has worked with academia and post-secondary institutions
*
Yes
No
Let’s make your match for Research Impact! Share other comments here:
How did you hear about us?
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An organization I belong to
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