University Program Preliminary Information Form

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Email completed word .docx file to: Judy.Richter@synopsys.com
Synopsys University Program Preliminary Information Form
Synopsys products are available under two versions: 1) University-Academic License or 2) University-External
Interactions/Research License. To help us determine which category you fall under, please complete the
Preliminary Application Form and email back the word .docx file.
PART 1 - Site Information
Complete All Fields
Site Address (Sold-to Address)
University
Department
Group within Dept.
Address
City State Postal Code
University URL
Primary Contact’s address is the “Site Address”; use this address throughout
the other required paperwork.
(Spell out, no abbreviations)
(Spell out, no abbreviations)
(Spell out, no abbreviations)
(Street Address; Key/Software is delivered electronically therefore: No generic shipping &
receiving nor PO Boxes)
Country
Department URL
Primary Contact -- Instructor/Professor
EST Contact -- Site/System Admin or Other
Is responsible for fielding all questions from other faculty
members and students, enforcing and upholding terms &
conditions of license agreement.
Is responsible for administration of license keys/software
downloads, all end-user access, enforcing and upholding terms &
conditions of license agreement.
Name
Email
Phone
Name
Email
Phone
(university domain email address only)
Fax
(university domain email address only)
Fax
Universities cannot use SolvNet “Open A Support Case” and only the two Designated Approved Contacts (Primary Contact
and EST Contact) can get technical support from the Synopsys Tech Support Center: support_center@synopsys.com. Always
include university name and site # in subject header as it helps the Support Center quickly identify a valid university contact.
Platform Information
Both License Server and Client Server(s) should be Supported Platforms.
For information on SCL version, Supported OS & Platform, Pre-Installation Information, etc:
http://www.synopsys.com/Support/LI/Licensing/Pages/default.aspx.
Continue on page 2, complete PART 2.
If you have questions, please contact:
Judy Richter
WWW Sales
Synopsys, Inc.
Direct Phone: 503-547-6464 E-mail: Judy.Richter@synopsys.com
University Program Coordinator
Synopsys Technology Park, 2025 NW Cornelius Pass Road, Hillsboro, OR 97124
Synopsys University Program – Completed University Application Form is Confidential
Page 1 of 2
Rev. jr010713
Email completed word .docx file to: Judy.Richter@synopsys.com
Synopsys University Program Preliminary Information Form
PART 2 – Status/Activities Report Complete all questions
Please describe your expected use of the Licensed Product for the license period.
Course(s);
Select/Move curser over “” box, press “x”, box will changes to “”
For more than one course, step-and-repeat the whole section, one for each course.
Course Name(s)
Instructor/Professor(s)
Description(s)
Course Level
 Undergraduate  Graduate Masters  Graduate PhD  Other:
Synopsys tools planned to be used
Number of students attending
Research Project(s); complete all questions:
For more than one research project, step-and-repeat the whole section, one for each research project.
Project Name
Instructor/Professor(s)
Project URL
Description
Synopsys tools planned to be used
Number of professors/students participating
Will the research project have other end results? If so what?
Who is funding/sponsoring the research project? What kind of interactions will you have with the
sponsor?
Will the research project end results be made public such as through a published paper, thesis, or
conference papers?
Will sponsor(s) and/or any-entity-outside-of-the-university get access to your research simulation
results, simulation data, or intellectual property resulting from your research? If so what? To whom?
Will sponsor(s) and/or any-entity-outside-of-the-university have access to Synopsys products on-site at
the university? If so what? To whom?
Will any of the netlists, layout data, or HDL developed with Synopsys tools be delivered to sponsor(s)
and/or any-entity-outside-of-the-university? If so what? To whom?
Is the data developed in your research ever going to be transferred to sponsor(s) and/or any-entityoutside-of-the-university to be included in or used to leverage their product development efforts? If so
what? To whom?
Does the university have its own Fab? Will an IC be produced? What will be the feature size of the IC?
Will you deliver or license the IC to the sponsor and/or any-entity-outside-of-the-university. To whom?
Synopsys University Program – Completed University Application Form is Confidential
Page 2 of 2
Rev. jr010713
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