Utah Nanofab Preliminary Data Seed Fund Application 2nd Utah Nanofab Preliminary Data Seed Fund Application Please note: The Nanofab Preliminary Data Seed Fund is intended to provide up to three months of cleanroom and/or surface lab instrument access through user fees (or training plus two months) to stimulate more effective research grant proposals. It is possible to request up to 1/5th of the budgeted lab-use funds in the targeted formal research proposal as a seed grant. Requests larger than $2k should be directed to the Funding Incentive Seed Grant Program provided through the office of the VP-Research. http://research.utah.edu/grants/seed.php This fast-response program is an open submission format and applies to academic users (on-campus only). Funds generously supplied through a Dean COE match to a VP-R TCP grant. PI Details Affiliation On Campus (U of U) Off Campus (other Utah entity) Applicant Name Department or Affiliation or name of company Email Phone Number Designated User Name UUID (if U of U student) Status Undergraduate Graduate OtherOther Cleanroom Access Authorization Training Completed Yes No Date of Training Completion Expected Time in the Lab This is the estimated time to complete the preliminary data. Nanofab Access Requested Period Please enter the dates for which Nanofab access is requested. Nanofab Access Requested Begin Date When do you need to begin your work? Leave time for account set-up and training. Coordinate with staff on service requests. Nanofab Access Requested End Date Please indicate here the due date for the RFP to which you will be responding. Funding Agency for Target Solicitation or Funding Opportunity Funding Agency and RFP# Target Solicitation or Funding Opportunity Title of RFP Budgeted User Fees in Proposal list the amount you are budgeting from the funding agency per year to support nanofab user fees. See rate sheet for annual cap rates. Separately budget use of Surface Lab, Electrical Characterization Lab, Microfluidics Lab, and Prototyping Lab Collaborators (if any) List the names of collaborators here. Proposal Title SHORT SUMMARY OF THE PROPOSED WORK Type of preliminary data needed to support this proposal Include how the Utah nanofab facilities will be used to help create this supporting data. Indicate masks if needed, or specialty materials such as wafers, precious metals, etc. Justification for need of preliminary data Why is the preliminary data critical to the success of the proposal, and what is the payback in future usage of the lab and in other benefits to the University and to the State if this proposal is funded? ESTIMATED BUDGET Note: typical projects are between $3-$5k. Budget for Supplies and Materials Please note that this funding mechanism is primarily intended to facilitate use of the lab, not to acquire supplies and materials. This part of the budget should not exceed 10-20% of the total budget Supply list found at: /assets/svn/public/documents/Non%20SOPs/Utah_Nanofab_Supply_list.pdf Supply rates found at: https://coral.nanofab.utah.edu/lab/rates/review Quantity Part No. Desc. / URL Price Total 1. $ $ 2. $ $ 3. $ $ 4. $ $ 5. $ $ Total for All Items Budget for Lab Services Please Include Lab Entry Rates and Other Associated Fees such as SEM or Characterization Fees Fee tables located at: Billing Rates Page Some example services: Setup Fee Mask Making Charges Professional Tech Support Imaging Instrument Use # Description Price 1. $ 2. $ 3. $ 4. $ 5. $ Total for All Services Total Budget Approval Approval of PI indicates that he/she will pay user fees on a normal monthly billing basis, but that the seed account will reimburse the user up to three months of all approved fees, upon demonstration of submission of the indicated proposals. Please type your chart field, or billing information, and your full name to indicate approval. Chartfield Number, or Indicate Billing Information PI or authorized signatory