TECHNICAL PROPOSAL FORM
PITA  FISCAL YEAR 2013
Proposal Number:
Tech. Focus Area/#:
Awarded Amount: $
ATLSS Engineering Center
Lehigh University
(For administrative purposes only)
INSTRUCTIONS: Please use this form to submit your PITA proposal. Fill-in complete answers for all questions.
Submit complete proposals along with your completed PITA budget form (see below) no later than October 1,
2012.
1.
Project Title:
Is this project a renewal or continuation of a previous PITA project (check one) yes
Identify project type (check one)
Collaborative
no
Seed
(NOTE: If “SEED” project above is check-marked provide additional detail in Follow-on
Funding item #7 below.)
Identify the Technical Focus Area (select only one for this project)
Innovative Infrastructure Systems (IIS)
Information and Systems Technology (IST)
Product and Process Design and Optimization (PPDO)
Biomedical and Health Engineering (BHE)
Environmental and Energy Technology (EET)
Nanotechnology (NANO)
Courses and Outreach (COP)
2.
Lehigh University Research Team: (Projects should involve collaboration of 2 or more
faculty, and multiple students). List PI and Co-PI’s (name, affiliation and email address) and all
students (name, degree program, anticipated completion date, curriculum/department)
PI Co-PI Graduate Student(s) Undergraduate Student(s) -
3.
Non-Lehigh Project Participants: (Projects should include Pennsylvania companies and/or
government agencies). List name and complete address, including nine digit zip code of
company or agency.
Industry –
Government –
University –
Please note that “support letters” are now required to be attached to this proposal from all
participating Pennsylvania companies on company letterhead. Participating companies that do
not provide a support letter will not be counted during the proposal selection process. Support
letter should include impact of PITA funding on company or new technology or process and as
such, this language may be included in reporting to program sponsor.
4.
Contact Information for Non-Lehigh Project Participants (from #3 above):
(Name of contact / title / organization / phone / email)
Industry –
Government –
University –
5.
Executive Summary (Abstract) of Project: (limit of 300 words, Executive Summary will be
used for public dissemination if project is awarded)
6.
Description of the Project: (limited to 2 pages)(Include any figures/tables in separate
attachment)
7.
Anticipated Results and Strategy for Follow-on Funding of the Project:
8.
Relationship to PITA Goals and Potential Impacts on PA:
9.
Past Results Enabled by PITA Funding:
10.
Budget:
Please use separate PITA FY 2013 Cost Proposal Form to submit this information. Note the
leverage guidelines of $2.00 leverage funding for $1.00 of PITA funding. Partner leverage
funding should be outlined in company support letter on company overhead, with leverage
contribution identified (cash or in-kind), quantified, and described.