Hawaii SBIR & STTR Matching Grant Program Application

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Hawaii Small Business Innovation Research (HSBIR) Grant Program Phase I/II/III Application

Administered by INNOVATE Hawaii / Hawaii Technology Development Corporation



A. Company Information

All items with * are required.


     
A2. President/Authorized Official
Prefix
First Name
Last Name


Email



Street Address
Street Address Line 2
City
Postal/Zip Code
Prefix
First Name
Last Name









D-U-N-S (Dun & Bradstreet) number will be required before grant awarded. If you do not have a D-U-N-S number we will contact you to assist in getting a number at no cost.


HTDC
B. SBIR/STTR Grant information





C. SBIR/STTR Grant Justification

D. Forecast company growth and economic impact for 5 years (0 if none)  






E. Phase I Information This section must be completed for Phase I application.    






Including date and amount of award.

Link for TRL Definitions: https://www.nasa.gov/wp-content/uploads/2017/12/458490main_trl_definitions.pdf




Use of Hawaii SBIR/STTR Phase I Funds  
TOTAL EXPENSE USING Hawaii SBIR/STTR FUNDS 









F. Phase II Information This section must be completed for Phase II application.






Including date, and amount of award


Market Potential



Business/Technical

Revenue New Jobs New Jobs > $80k Salary
F13. Year 1
F14. Year 2
F15. Year 3
F16. Year 4
F17. Year 5


Use of Hawaii SBIR/STTR Phase II funds 









G. Phase III Information This section must be completed for Phase III application.





Including dates and amount of contract.


Market Potentials



Business/Technical

Revenue New Jobs New Jobs > $80k salary
G12. Year 1
G13. year 2
G24. Year 3
G15. Year 4
G16. Year 5


Use of Hawaii SBIR/STTR Phase III funds
TOTAL EXPENSES USING Hawaii SBIR / STTR Funds:









Year Phase Amount Agency HSBIR Amount Current Commercialization Stage Status
H1.
H2.
H3.
H4.
H5.
I. Additional Information/Certification

Your company must be registered with Hawaii Compliance Express and supply a current Certificate of Vendor Compliance in order to submit your application. Visit the Hawaii Compliance Express for information and to apply.





Authorized Representative Page
INNOVATE Hawaii and the Hawaii Technology Development Corporation administer the Hawaii SBIR/STTR Matching Grant Program. We look forward to awarding your application to help you move forward with your technology.

By submission of this application, you agree that all information provided is accurate and that you will be subject to all eligibility requirements of the grant. You also agree to participate in the HTDC Annual Economic Impact Survey and the INNOVATE Hawaii NIST MEP Survey for a period of 5 years.




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