TECHNOLOGY PROGRAMME - KNOWLEDGE TRANSFER NETWORKS EXPRESSION OF INTEREST For information on the deadline for submission of this Form, please refer to the descriptor for the Knowledge Transfer Network for which you are applying. The descriptors are available on the Technology Programme website at www.dti.gov.uk/technologyprogramme. Each descriptor also includes contact names and details for that Knowledge Transfer Network. The Form should be submitted by email to those contacts. 1. In which Knowledge Transfer Network are you expressing an interest? 2. Who is the lead organisation for your proposed Knowledge Transfer Network? Organisation Name Address Contact Name (the name of the main contact person within the organisation) Telephone Number Email address 3. Please list the names of any other consortium partners in your proposed Knowledge Transfer Network. (Note: This is indicative information only at this stage and DTI recognises that the consortium partners in your application may differ from those in this list.) 1 2 3 4 5 6 7 8 9 10 Page 1 of 2 4. Please provide brief details of the experience of the lead organisation in operating networks. 5. Please provide a bulleted list of themes / knowledge areas that are likely to be included within your proposed Knowledge Transfer Network. 6. Please provide names of the other networks active in this area, other than those named in 2 or 3 above. Page 2 of 2