KTI Impact Awards 2018 - Nomination Form

Completed online submissions must be received by 5pm on 26th January 2018

Late submissions will not be accepted.

Please make sure to read the Terms & Conditions before completing your submission. 

It is also recommended that you take time to read our Tips for Successful Submissions in before submitting your nomination.

The word count in brackets throughout the form are meant only as a guide with the higher number representing the maximum number of words permitted.




SECTION 1 – NOMINATION DETAILS

All nominations for the Collaborative Research award must be submitted by a TTO/ILO Director or equivalent

All nominations for the Consultancy award must be submitted by a TTO/ILO Director or equivalent.

All nominations for the Knowledge Transfer Initiative Award must be submitted by a TTO/ILO Director or equivalent.

All nominations for the Knowledge Transfer Achiever Award may be submitted by any member of staff at a TTO/ILO.

All nominations for the Licence2Market award must be submitted by a TTO/ILO Director or equivalent.

All nominations for the Spin-out Company award must be submitted by a TTO/ILO Director or equivalent

All nominations for the {{item.Category}} award must be submitted by a TTO/ILO Director or equivalent.

Please provide details of the lead researcher(s) that worked together on this project Please provide details of the consultant(s) who provided the service / advice Please provide details of the academic inventor(s) / originator(s) of the licence Please provide details of the academic founder(s) of the Spin-out company Please provide details of the lead researcher that worked together on this project (and who will accept the award)

To add additional names please list these within this textbox in the format: Name: Faculty/Department.
Please provide details of the company that worked together with the RPO on this project and the contact person there.
Please provide details of the client for whom the consultant provided the service / advice
Please provide details of the staff member from the TTO/ILO or Research Office whom you would like to nominate as Knowledge Transfer Achiever Award.
Please provide details of the licensee company and contact person there
Please provide details of the Spin-out Company and the contact person there who will accept the award
Please provide details of the company that worked together on this project and the contact person there (who will accept the award)
Please provide a brief description of the company being nominated, what it does and, as relevant, its products and/or services.
Please provide a brief description of the client and their field of work.
If the company does not have a website, please provide a brief description of the company being nominated and its products and/or services.
Please provide a short biography on the person you are nominating for this award.
Please provide a brief description of the licensee company, what it does and, as relevant its products and/or services.
Please provide a brief description of the company being nominated, what it does and, as relevant, and its products and/or services.

SECTION 2 - COLLABORATIVE PROJECT DETAILS SECTION 2 – CONSULTANCY PROJECT DETAILS SECTION 2 – INITIATIVE DETAILS SECTION 2 – IMPACT SUMMARY SECTION 2 – LICENCE2MARKET SUMMARY SECTION 2 – SPIN-OUT COMPANY DETAILS

Please provide a summary of the collaborative research project outlining the background and what was involved.Why did the company choose to work with you?
Please provide a summary of the consultancy project outlining the background and what was involved.
Please provide a summary of the knowledge transfer initiative you are nominating, outlining why you undertook this and what was involved.
Please provide a summary of what the person being nominated did of particular note during 2017 to warrant this nomination.
Please provide a summary of what was licensed. Please describe the product/service and when it was launched to market as a result of this licence. Provide details of the intellectual property rights licensed including when, to what patent(s) / know-how / trademarks / software etc.
Please provide a summary outlining the basis of the spin-out company e.g. the academic founders and their faculty or department; any relevant licensing activity; whether the company is housed on the RPO campus; where it was established initially; how the company has grown; the ongoing relationship between the RPO and company etc.








SECTION 2 – IMPACT SUMMARY
SECTION 3 – IMPACT SUMMARY

Please provide a summary of the commercial impact the project has had ensuring you highlight specific outcomes and results. What in particular happened in 2017 that was significant as a result of this collaboration? For example, you should include details of new processes developed, new products or services, jobs creation, sales development or any impact on the decision making within the company.
Please provide a summary of the impact the consultancy project has had on the client who commissioned it ensuring that you highlight specific outcomes and results.

What in particular happened in 2017 that was significant as a result of this consultancy? For example, you should include details of new processes developed, new products or services, jobs creation, sales development or any impact on the decision making within the company.
Please describe any impact the initiative may have had on the RPO to date.
Please provide a summary of what the person being nominated did of particular note during 2017 to warrant this nomination.
Please provide a summary of the commercial impact that this licence has enabled ensuring you highlight specific outcomes and results.
What in particular happened in 2017 that was significant as a result of the licence? For example you should include details of the any new processes developed, new products of services launched, jobs created, sales developed, any impact on the decision-making within the company etc.
Please provide a summary of a significant event that took place during 2017 for the Spin-out Company making sure to highlight any commercial impact the event has had on the company and including specific outcomes or results. For example, you should include details of new processes developed, new products or services launched, jobs created, sales development any impact on the decision-making within the company etc.
Please detail any future impacts anticipated for the company as a result of the collaboration?
Please detail any future impacts anticipated for the company as a result of the consultancy project.
Please detail any future impacts anticipated for the RPO as a result of the initiative.
Please detail any future impacts anticipated for the RPO as a result of the person's activity.
Please detail any future impacts anticipated for the company as a result of this licence.
Please detail any future impacts anticipated for the company as a result of the significant event that took place in 2016.
Please describe the impact of the collaboration on the RPO.
Please describe the impact of the consultancy on the RPO.
Please describe any impact the initiative may have had on the RPO to date.
Please describe any impact their activity may have had on the RPO or TTO in question.
Please describe the impact this licence has had on the RPO.
Please describe the impact of the Spin-out company and its significant event (if applicable) on the RPO.
Please detail any subsequent interactions that may have taken place between the company and the RPO since the collaboration detailed in this submission.
Please detail any subsequent interactions that may have taken place between the client and the RPO since the consultancy detailed in this submission.
Please describe any impact the initiative may have had on the RPO to date.
Please describe any wider impact the person’s activity may have had to date or may have in the future.
Please detail any subsequent interactions that may have taken place between the company and the RPO since the license of this IP, technology, product or service.
Please detail any subsequent interactions that may have taken place between the spin-out company and the RPO since the spin-out was established.

SECTION 4 – TTO / ILO

SECTION 4 – TTO / ILO

SECTION 4 – TTO / ILO

SECTION 4 – TTO / ILO / RESEARCH CONTRACTS OFFICE

Please describe the way in which the TTO/ILO or Research Contracts Office supported the collaboration, paying particular attention to the value that the office and its support brought to the project. For example through business development, contract negotiation, funding application support, relationship management, etc.
Please describe the way in which the TTO/ILO or Research Contracts Office supported the consultancy project, paying particular attention to the value that the office and its support brought to the project. For example through business development, contract negotiation, funding application support, relationship management, etc.
Please describe the way in which the TTO/ILO has been instrumental in bringing this initiative to fruition.
Please describe any wider impact the person’s activity may have had to date or may have in the future.
Please describe the way in which the TTO/ILO supported the licensing. You should pay particular attention to the value that the office and its support brought to the licence. For example, through business development, contract negotiation, funding application support, relationship management, etc.
Please describe the way in which the TTO/ILO or Research Contracts Office supported the spin-out company, paying particular attention to the value that the office support brought to the company. For example through business development, contract negotiation, funding application support, relationship management, etc.

SECTION 3 – SOCIAL MEDIA
SECTION 5 – SOCIAL MEDIA

Please describe the impact of the collaborative research project in Tweet format i.e. not more than 140 characters.
Please describe the impact of the consultancy project in Tweet format i.e. not more than 140 characters.
Please describe the initiative in Tweet format i.e. not more than 140 characters.
Please describe in Tweet format i.e. not more than 140 characters what the individual did in 2017 to warrant their nomination.
Please describe the impact relating to the licence in Tweet format i.e. not more than 140 characters
Please describe the impact of the spin-out’s significant event in Tweet format i.e. not more than 140 characters.

SECTION 4 – DECLARATION
SECTION 6 – DECLARATION



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