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2007 VERMONT EPSCoR SBIR Phase (0) PROPOSAL
NAME OF FIRM
YEAR(S) I HAVE PREVIOUSLY
SUBMITTED A PHASE (0) & OUTCOME(S) e.g.
awarded/declined:
ADDRESS (INCLUDE PHONE AND E-MAIL)
PRINCIPAL INVESTIGATOR (NAME AND TITLE)
TITLE OF PROJECT
AMOUNT REQUESTED
TARGET AGENCY FOR PHASE I/II PROPOSAL SUBMISSION
ARE VERTEBRATE ANIMALS OR HUMAN SUBJECTS INVOLVED IN THE PROJECT?
TECHNICAL ABSTRACT (LIMIT TO 200 WORDS)
KEY WORDS TO IDENTIFY RESEARCH OR TECHNOLOGY (8 MAXIMUM)
Please sign below ONLY if you will permit Vermont EPSCoR to disclose just this title and technical
abstract page (not the entire proposal), if the proposal does not result in an award, to parties that
may be interested in contacting you for further information or possible investment. If you do not
wish this abstract to be made public, do NOT sign here.
Signature:
Date
Print Name:
Due by Mail Only (No Fax) March, 22, 2007 by 4:00 p.m.