Cover Sheet - NC Biotech
Cover Sheet
NC Biotechnology Center - Technology Enhancement Grant (TEG) Program
Project Title ●
Project Director Name (Technology Transfer Officer or equivalent) ●
Scientific PI (Research Lead) ●
Institution Name ●
Is this proposal a resubmission? Yes No
Does this project require IRB or IACUC protocols? IRB IACUC Neither
Name and Address of location where project will be conducted ●
Amount requested from the North Carolina Biotechnology Center
$ (Maximum: $75,000)
Public Information Summary
Maximum 50 words or less: Summary of project for an educated lay audience, not for scientific peers
(do an abstract):
Required Signatures
[1] By my signature, I certify that I have read, understand and agree to the conditions stated in the Application Instructions:
Project Director (Technology Transfer Officer or equivalent)
Signature ______________________________________ Date ____________
Project Director email address and telephone number:
[2] By my signature, I certify that I am authorized to approve and sign off on proposals for the Institution and thereby authorize the submission of this proposal:
Authorized Official Signature ________________________________________ Date _____________
Authorized Official Name and Title:
Authorized Official mailing address and email address:
................
................
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