GRA Ventures Phase II Proposal
I. Project Summary
Application
Date:
Company Name:
Phase and funds
requested:
Faculty Member(s):
University Rep:
Industry Fellow:
Phase (A, B, C,
etc.)_____
Total funds requested in this
proposal $_______
Name:
Dept./School affiliation:
Phone:
Email:
Name:
Phone:
Email:
Company Profile:
Brief description of company history, status, goals.
50 word maximum. This should be updated with this
submission
Incorporated:
Company Officers:
Yes/No. If “Yes”, form of incorporation
Names (Company Titles/Roles) or “N/A”
EIN:
Employer Identification Number - if applicable.
Licensing
arrangement with
University:
Brief description of arrangements with your licensing office
here.
Financial Status:
Grants:
Equity:
Debt:
Other:
Source of required
match and amount
Goals:
Brief description of goals and milestones to be achieved with
this phase of GRA investment. 100 word maximum.
Dollar amounts, sources.
Dollar amounts, sources.
Dollar amounts, sources.
Dollar amounts, sources.
Source of matching funds.
Proprietary and Confidential
Page 2 of 5
II.
Executive Summary (1 page maximum)
Use a narrative format and do not include confidential information. This section
should address the following in summary form:
Company’s overall vision
Description of company and technology developments to date
Summary of market need(s) to be addressed
Highlights of the founders’ experience
Summary of results in previous GRA projects
Summary of expected outcomes of the proposed project.
III.
Market Need
Describe the current marketplace problem and the anticipated target market.
Be as quantitative as possible.
IV.
Technology (2 page maximum)
Describe the current state of technology development and progress or changes
since Phase I. Describe how the technology addresses the market need.
V.
Value Proposition
Describe what is distinctive and compelling about the technology, product, and
proposed business. Describe refinements in the value proposition as a result of
work accomplished in Phase I. How does this compare to the competition?
Describe how the company will address the market need(s) discussed above,
including competitive information when available.
VI.
Expected Commercialization Risks and Hurdles
Describe expected challenges in bringing the technology to market. What
technology/market hurdles are anticipated in the next three years? How will they
be addressed?
VII.
Results of Previous GRA Funding
Describe results of Phase I funding. Include a table showing progress against
milestones, schedule and budget.
VIII. Intellectual Property Status
Describe/update the IP strategy. Briefly summarize current status of patent
prosecutions as well as status of prior art searches and freedom to operate
analyses. Describe status of licenses with institutions
IX.
Team
Include a one-paragraph description of the technical/business background for each
member of the team. Include key consultants/contractors. Point out roles that
will need to be filled during the course of this phase of the project.
X.
Scope of Work
Briefly describe (one page maximum) the work to be done in this phase of the
project.
Proprietary and Confidential
Page 3 of 5
XI.
Milestones and Deliverables
Using the table below, list milestones and the deliverable that will be used to
measure progress against milestones.
No.
XII.
Milestone
Deliverable
Schedule
Activity*
Responsibility
Milestone
Start Date
1
2
3
Totals
* Each activity should be associated with a milestone from Section XI.
XIII. Budget
[Date]
Project Period
Expenses
Salaries
[Names & position]
Fringe Benefits
Supplies
Travel
Equipment
Other Expenses
(itemize)
Direct Costs Total
TO
[Date]
GRA Budget
Company Budget
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Proprietary and Confidential
Finish Date
Page 4 of 5
Provide a brief narrative about the investment request (maximum 100 words) and
complete a budget spreadsheet similar to the above.
Note that there are strict constraints on the use of GRA funds to comply with Georgia
law. In particular, company founders, equity holders, and employees may not
receive GRA funds. Consult with your university representative when allocating
funds. For Phase II proposals, at least 1:1 matching is required. Please indicate
required matching company expenditures in the “Company Budget” column.
Proprietary and Confidential
Page 5 of 5
GRA Ventures Phase II Proposal
This page of the proposal is to be completed by the University Representative. By
completing this form, the University Representative has read the proposal and
supports it for funding by the GRA Ventures.
Project Name:
University Representative:
Recommended external reviewers for this proposal:
1.
2.
3.
4.
5.
Comments or additional information on project not included in the proposal that may be
beneficial to an external reviewer:
Proprietary and Confidential