Thank you for taking the opportunity to – under secrecy - submit your idea for evaluation. In this document we refer to an idea, but the broader meaning is an invention or innovation. This template includes questions, which serve as the foundation for the submission of an idea for the Idea Evaluation service – in collaboration with the Idea Evaluation course given at Chalmers University of Technology.
We would like you to answer these questions as thoroughly as possible, and if you need help or further explanations in this process, we will be happy to help. All answers will be held confidential, as will any other information pertaining to the idea. The answers will only be provided to the management team, analysts and selected students at the IE (Idea Evaluation)-course. All of these parties have entered into binding long-term non-disclosure agreements that can be received upon request. Furthermore, this report is administratively labelled as a non-published working material, making it not applicable to the
Swedish principle of publishing data stemming from the university.
Please submit your innovative idea before midnight December 10 th 2014. Thank you!
By submitting your idea, you as an idea provider are obliged to serve the idea evaluation team with 3-4 hours of feedback to ensure high quality of the evaluation.
Also, feel free to contact us for any questions regarding the Idea Evaluation process.
See contact details in the end of this form.
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Contact: David Andersson – Chalmers School of Entrepreneurship davian@chalmers.se
+46 703805410 www.entrepreneur.chalmers.se

Name of idea
Please insert a ½ page summary description of the idea or innovation.
NOTE: The above info, including the contact details below, is enough for starting the analysis, however, feel free to fill in complementary info on the following pages. You don’t have to use this template – if you have your own summary use that instead. Thank you.
Name:
Current address:
City:
Occupation:
Organization:
Phone: e-mail:
Website:
Place of birth:
Background

Give a short description of your idea (or innovation/invention) and its background.

Legal owner of the idea / invention / innovation - If company, please add corporate identity no.
Technology & functionality

Give a short technical description of your idea and its primary functionality/field of use.

At what technological stage of development is the idea currently?

Has your idea undergone any technical evaluation processes?
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Business idea
 Describe the ”problems” or needs that your idea solves.
 Describe the uniqueness of your idea in relation to existing technology or comparable alternatives.
Market
 Describe your perception of the current and future target market for your idea.
 Try to specify which line of business your idea is directed towards, and whether or not you yourself have any experience in that field.

Do you see possible application of the idea in the markets in the developing world?
Financing
 Describe whether or not you have applied for and/or have received any form of financing of your idea and from whom.
Sustainability

In what ways will the idea lessen the extraction of fossil resources?

In what ways will the idea lower the emission of substances from society?

In what ways will the idea lessen the need for land area or harvesting of ecosystems?

In what ways will the idea make it possible for an individual to increase its well-being?
Resilience

In what ways will the idea make it possible for society to recover quickly from large changes and stressors.
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Do you consider the idea to have positive transformational effects upon society if realized?
Possibility of protection

If you yourself have developed the idea, have you done this on your own or together with others?
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 Have any agreements, oral, written, or otherwise, been established with the other contributors to the idea?
 If there are no agreements with other idea providers, on what basis do you feel that you have the right to claim ownership of the idea?
Spreading of Information & value of novelty

Is the idea in any way protected by any intellectual property rights, including but not limited to patent(s), patent application(s), copyright(s) or trade secrecy.

If the idea does not have intellectual property protection today, to what extent is the idea publicly known?
Thank you very much for your effort!
Please submit this document to the e-mail below before midnight December 10 th 2014. Thank you!
In order for us to understand your innovation, comprehensive information is relevant for us. If you have additional documentation e.g. business plans, patent applications, technical drawings or other documentation that can describe and illustrates the idea please send them as well.
All information will be treated confidential and the individuals in the idea evaluation team have all signed non-disclosure agreements.
Best Regards,
David Andersson
Chalmers School of Entrepreneurship
Chalmers University of Technology
Vera Sandbergs Allé 8,
SE 412 96 Göteborg, Sweden davian@chalmers.se
+ 46703805410
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